Individual provider Active NPI

Regina Ann Strand, OD

  • Optometrist
  • Uncasville, CT
National Provider Identifier
1093739310
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2111 Issued in CT
Practice address
2020 Norwich New London Turnpike
Unit 8
Uncasville, CT 06382
Phone
(860) 848-8777
Fax
(860) 848-3388
NPI assigned
Jul 27, 2006
Last updated
Jan 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2111 CT Primary

Addresses

Primary practice location

2020 Norwich New London Turnpike
Unit 8
Uncasville, CT 06382

Mailing address

2020 Norwich New London Turnpike
Unit 8
Uncasville, CT 06382
Phone (860) 848-8777

Other identifiers 1

IdentifierTypeStateIssuer
004097764MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110203000943 CT Practitioner - Optometry 8426057381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

485 Willard Ave
Newington, CT 06111-2376
Phone (860) 666-7053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2111CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Totalvision Eye Health Center LLC Optometrist CurrentSince Jan 9, 1997 Accepting new patients
Total Vision-Eye Health Center LLC Optometrist CurrentSince Jan 9, 1997 Accepting new patients
Total Vision-Eye Health Center LLC Optometrist Current Accepting new patients

Locations

12 Coogan Blvd
Mystic, CT 06355
Phone (860) 415-9292

485 Willard Ave
Newington, CT 06111
Phone (860) 666-7053

1920 Norwich New London Tpke
Uncasville, CT 06382
Phone (860) 848-8777

1920 Norwich New London Tpke
Unit C8
Uncasville, CT 06382

2020 Norwich New London Tpke
Uncasville, CT 06382
Phone (860) 848-8777

2020 Norwich New London Tpke
Unit 8
Uncasville, CT 06382
Phone (860) 848-8777

2020 Norwich New London Tpke
Unit C8
Uncasville, CT 06382
Phone (860) 848-8777

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1093739310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 NORWICH NEW LONDON TURNPIKE",
            "address_2": "UNIT 8",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "06382",
            "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": "2020 NORWICH NEW LONDON TURNPIKE",
            "address_2": "UNIT 8",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "06382",
            "telephone_number": "860-848-8777",
            "fax_number": "860-848-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAND",
        "first_name": "REGINA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004097764",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uncasville, CT

Sources for this page

Verify at the official NPI Registry.