Active NPI
Opticare Eye Health Centers, Inc.
- Ambulatory Surgical Clinic/Center
- Waterbury, CT
National Provider Identifier
1124069273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 0071
- Legal business name
- OPTICARE EYE HEALTH CENTERS, INC.
- Practice address
- 87 Grandview Ave
Waterbury, CT 06708-2514 - Phone
- (203) 574-2020
- Fax
- (203) 596-2230
- NPI assigned
- Jun 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy A Noll
- Title
- Exec VP
- Phone
- (203) 574-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 0071 | CT | Primary |
Addresses
Primary practice location
87 Grandview Ave
Waterbury, CT 06708-2514
Mailing address
87 Grandview Ave
Waterbury, CT 06708-2514
Phone (203) 574-2020
Other names 1
- Waterbury Out Patient Surgery Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124069273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 GRANDVIEW AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082514",
"telephone_number": "203-574-2020",
"fax_number": "203-596-2230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 GRANDVIEW AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082514",
"telephone_number": "203-574-2020",
"fax_number": "203-596-2230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTICARE EYE HEALTH CENTERS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NOLL",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "EXEC VP",
"authorized_official_telephone_number": "203-574-2020"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CT",
"license": "0071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Waterbury Out Patient Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waterbury, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.