Organization Active NPI

Trimble Vision Services, LLC

  • Optometrist
  • West Hartford, CT
National Provider Identifier
1093841967
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002674 Issued in CT
Legal business name
TRIMBLE VISION SERVICES, LLC
Practice address
355 N Main St
West Hartford, CT 06117-2511
Phone
(860) 233-2668
Fax
(860) 236-4293
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ryan Michael Trimble, O.D.NPI 1932185303
Title
Optometrist
Phone
(860) 751-8903

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 002674 CT Primary

Addresses

Primary practice location

355 N Main St
West Hartford, CT 06117-2511

Mailing address

35 Green Woods LN
Unionville, CT 06085-1555
Phone (860) 751-8903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091020000524 CT Part B Supplier - Clinic/Group Practice 2365589546 Receives reassigned benefits from 2 practitioners
Practice locations: East Hartford, CT; Hartford, CT; Unionville, CT

National Provider Directory

National Provider Directory

Locations

14 Hazard Ave
Enfield, CT 06082
Phone (860) 256-8766

9 School St
#B1
Unionville, CT 06085
Phone (860) 255-7691

9 School St
Unionville, CT 06085

355 N Main St
West Hartford, CT 06117
Phone (860) 233-2668

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093841967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 GREEN WOODS LN",
            "city": "UNIONVILLE",
            "state": "CT",
            "postal_code": "060851555",
            "telephone_number": "860-751-8903",
            "fax_number": "860-255-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 N MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172511",
            "telephone_number": "860-233-2668",
            "fax_number": "860-236-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIMBLE VISION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRIMBLE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "860-751-8903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.