Organization Active NPI

Total Vision-Eye Health Center, LLC

  • Optometrist
  • Mystic, CT
National Provider Identifier
1023449477
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02111 Issued in CT
Legal business name
TOTAL VISION-EYE HEALTH CENTER, LLC
Practice address
12 Coogan Blvd
Mystic, CT 06355-1938
Phone
(860) 848-8777
Fax
(860) 848-3388
NPI assigned
Dec 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mitchel Boyd Strand, ODNPI 1003830308
Title
President
Phone
(860) 666-7053

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 02111 CT Primary

Addresses

Primary practice location

12 Coogan Blvd
Mystic, CT 06355-1938

Mailing address

12 Coogan Blvd
Mystic, CT 06355-1938
Phone (860) 848-8777

Other identifiers 1

IdentifierTypeStateIssuer
004097764MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061113000263 CT Part B Supplier - Clinic/Group Practice 9739187444 Receives reassigned benefits from 9 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mystic, CT; Newington, CT; Uncasville, CT

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1023449477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 COOGAN BLVD",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551938",
            "telephone_number": "860-848-8777",
            "fax_number": "860-848-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 COOGAN BLVD",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551938",
            "telephone_number": "860-848-8777",
            "fax_number": "860-848-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL VISION-EYE HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "STRAND",
        "authorized_official_first_name": "MITCHEL",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-666-7053",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "02111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004097764",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mystic, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.