Lighthouse Medical Supply, LLC
NPI 1679650907 · Parenteral & Enteral Nutrition Supplies (DME) · Middletown, CT
Lighthouse Medical Supply, LLC is a Parenteral & Enteral Nutrition Supplies (DME) organization in Middletown, CT (NPI 1679650907).
Provider details
- NPI number
- 1679650907
- Entity type
- Organization
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Barry O'Dougherty, Authorized Official - President(203) 575-1401
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2020-08-22
Frequently asked questions
- What is Lighthouse Medical Supply, LLC's NPI number?
- Lighthouse Medical Supply, LLC's National Provider Identifier (NPI) is 1679650907, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lighthouse Medical Supply, LLC?
- Lighthouse Medical Supply, LLC is classified in the NPPES registry as Parenteral & Enteral Nutrition Supplies (DME) (Suppliers).
- Where is Lighthouse Medical Supply, LLC located?
- Lighthouse Medical Supply, LLC's practice location on file with NPPES is 245 Long Hill Rd, Middletown, CT 06457-4063.
- What is Lighthouse Medical Supply, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lighthouse Medical Supply, LLC is (866) 633-0005.
- Who is the authorized official for Lighthouse Medical Supply, LLC?
- The authorized official listed on Lighthouse Medical Supply, LLC's NPPES record is Barry O'Dougherty, Authorized Official - President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lighthouse Medical Supply, LLC's NPI active?
- Yes — Lighthouse Medical Supply, LLC's NPI (1679650907) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.