Eye & Vision Clinic

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE & VISION CLINIC

Practice address

826 E Center St
Wallingford, CT 06492

Phone

(203) 626-5155

Fax

(203) 793-7099

NPI assigned

May 16, 2018

Last updated

Jun 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eugene Yijian Fei, ODNPI 1366554081

Title

President &Ceo

Phone

(203) 626-5155

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Eye & Vision Clinic

  • Optometrist
  • Cheshire, CT
  • NPI 1134972797

  O20180702000244

  Same enrollment

Tax ID family

Eye Vision Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eye & Vision Clinic

  • Optometrist
  • Cheshire, CT
  • NPI 1134972797
  NPD tax ID

Locations

Practitioners 1

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.

• Eugene Yijian Fei, OD

  • Optometrist
  • Wallingford, CT
  • NPI 1366554081
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1083104855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 E CENTER ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064925038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 E CENTER ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "06492",
            "telephone_number": "203-626-5155",
            "fax_number": "203-793-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE & VISION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "FEI",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "YIJIAN",
        "authorized_official_title_or_position": "PRESIDENT  &CEO",
        "authorized_official_telephone_number": "203-626-5155",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Etherapy of Connecticut, LLC
• Moira Ethier, MS
• Kelly Nicole Evanovich, PT, DPT, ATC
• Vanessa Joyce Matuod Evardone, M.D.
• Evolve Counseling & Consultationllc
• Eye Health Professionals, P.C.
• Sophia Fagan
• Susan Fagan
• Susan Michelle Fagan, LCSW
• Deborah B Fahs, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.