Provider Demographics
NPI:1992456958
Name:BRISTOL COUNTY EYE CARE LLC
Entity type:Organization
Organization Name:BRISTOL COUNTY EYE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAKOVITS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-253-9900
Mailing Address - Street 1:1180 HOPE ST
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:RI
Mailing Address - Zip Code:02809-1126
Mailing Address - Country:US
Mailing Address - Phone:401-253-9900
Mailing Address - Fax:
Practice Address - Street 1:1180 HOPE ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:RI
Practice Address - Zip Code:02809-1126
Practice Address - Country:US
Practice Address - Phone:401-253-9900
Practice Address - Fax:401-633-6707
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARL SAKOVITS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty