Individual provider Active NPI

Leonard John Oshinskie, O.D.

  • Optometrist
  • Newington, CT
National Provider Identifier
1124137195
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
907 Issued in CT
Practice address
555 Willard Ave
Optometry Clinic
Newington, CT 06111-2631
Phone
(860) 667-6742
Fax
(860) 667-6833
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 907 CT Primary

Addresses

Primary practice location

555 Willard Ave
Optometry Clinic
Newington, CT 06111-2631

Mailing address

67 Bainbridge Rd
West Hartford, CT 06119-1106
Phone (860) 233-7085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
907CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Connecticut Eye Associates, LLC CurrentSince Jan 8, 2017 Accepting new patients
Northern Connecticut Eye Associates, LLC Optometrist CurrentSince Jan 8, 2017 Accepting new patients

Locations

146 Hazard Ave
Ste 201
Enfield, CT 06082
Phone (860) 763-4041

Organizations & group practices 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124137195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 BAINBRIDGE RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191106",
            "telephone_number": "860-233-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 WILLARD AVE",
            "address_2": "OPTOMETRY CLINIC",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112631",
            "telephone_number": "860-667-6742",
            "fax_number": "860-667-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSHINSKIE",
        "first_name": "LEONARD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

Verify at the official NPI Registry.