Complete Eyecare, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

002381 Issued in CT

Legal business name

COMPLETE EYECARE, LLC

Practice address

650 Main Ave
Norwalk, CT 06851-1126

Phone

(203) 321-9597

NPI assigned

Apr 15, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Gretchen E Ohlig, OD

Title

Optometrist/Owner

Phone

(203) 321-9597

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1043664006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 MAIN AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511126",
            "telephone_number": "203-321-9597",
            "fax_number": "203-939-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 MAIN AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511126",
            "telephone_number": "203-321-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "OHLIG",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "203-321-9597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008053302",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.