Active NPI
Total Vision-Eye Health Center, LLC
- Optometrist
- Mystic, CT
National Provider Identifier
1023449477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 02111
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mitchel Boyd Strand, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004097764 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Newington, CT
- NPI 1003830308
-
- Optometrist
- Uncasville, CT
- NPI 1255089900
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.