Active NPI
Chandler-Drakes Eyecare LLC
- Optometrist
- Fairfield, CT
National Provider Identifier
1124510813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- CHANDLER-DRAKES EYECARE LLC
- Practice address
- 19 Shoreham Ter
Fairfield, CT 06824-6226 - Phone
- (718) 534-0689
- NPI assigned
- May 30, 2018
- Last updated
- May 30, 2018
- 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
- Shanee Chandler
- Title
- Owner
- Phone
- (718) 534-0689
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
19 Shoreham Ter
Fairfield, CT 06824-6226
Mailing address
393 Broadway
Brooklyn, NY 11211-7303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Stamford Family Vision Center
- Optometrist
- Stamford, CT
- NPI 1710608971
Practitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1527638400000",
"number": "1124510813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 BROADWAY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112117303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 SHOREHAM TER",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246226",
"telephone_number": "718-534-0689"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANDLER-DRAKES EYECARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-30",
"last_updated": "2018-05-30",
"status": "A",
"authorized_official_last_name": "CHANDLER",
"authorized_official_first_name": "SHANEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-534-0689"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.