Organization Active NPI

Eyecare Associates, P.C.

  • Optometrist
  • Trumbull, CT
National Provider Identifier
1073846267
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002216 Issued in CT
Legal business name
EYECARE ASSOCIATES, P.C.
Practice address
6515 Main St
Suite 8L
Trumbull, CT 06611-1354
Phone
(203) 374-2020
Fax
(203) 880-9763
NPI assigned
Sep 7, 2009
Last updated
Dec 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Randy Leigh SchulmanNPI 1326265562
Title
Sole Owner
Phone
(203) 374-2020

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 002216 CT Primary

Addresses

Primary practice location

6515 Main St
Suite 8L
Trumbull, CT 06611-1354

Mailing address

6515 Main St Ste 12
Trumbull, CT 06611-1390
Phone (203) 374-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090921000456 CT Part B Supplier - Clinic/Group Practice 2769538594 Receives reassigned benefits from 7 practitioners
Practice locations: Norwalk, CT; Trumbull, CT; Southport, CT; Stamford, CT
O20231221001763 NY Part B Supplier - Clinic/Group Practice 2769538594 Receives reassigned benefits from 3 practitioners
Practice locations: Mahopac, NY; Mount Kisco, NY

National Provider Directory

National Provider Directory

Locations

444 Westport Ave
Norwalk, CT 06851
Phone (203) 840-1991

992 High Ridge Rd
Stamford, CT 06905
Phone (203) 321-1300

6515 Main St
Ste 12
Trumbull, CT 06611
Phone (203) 374-2020

6515 Main St
Ste 8
Trumbull, CT 06611
Phone (203) 268-0035

6515 Main St
Ste 8L
Trumbull, CT 06611
Phone (203) 374-2020

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1252281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1073846267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 MAIN ST STE 12",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111390",
            "telephone_number": "203-374-2020",
            "fax_number": "203-880-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 MAIN ST",
            "address_2": "SUITE 8L",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111354",
            "telephone_number": "203-374-2020",
            "fax_number": "203-880-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-07",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "SCHULMAN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "203-374-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.