Eye & Vision Clinic

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE & VISION CLINIC

Practice address

1081 S Main St
Cheshire, CT 06410-3432

Phone

(203) 504-9370

NPI assigned

Apr 11, 2024

Organization subpart

No

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

Authorized official

Name

Eugene Fei, ODNPI 1366554081

Title

President/Ceo

Phone

(203) 626-5155

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eye & Vision Clinic

  • Optometrist
  • Wallingford, CT
  • NPI 1083104855

  O20180702000244

  Same enrollment

Tax ID family

Eye Vision Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eye & Vision Clinic

  • Optometrist
  • Wallingford, CT
  • NPI 1083104855
  NPD tax ID

Locations

Practitioners 1

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

• Eugene Yijian Fei, OD

  • Optometrist
  • Wallingford, CT
  • NPI 1366554081
  NPD Authorized official

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1134972797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 E CENTER ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064925038",
            "telephone_number": "203-626-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103432",
            "telephone_number": "203-504-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE & VISION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "FEI",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "203-626-5155",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Estelle-Abate, MSN, APRN, FNP-BC
• Elizabeth A Euley, RPT
• Jennifer R Evans, LCSW, MSW
• Evolve Behavioral Inc.
• Evolving LLC
• Eye Center of Southern Connecticut, P.C.
• Rebecca Verosloff Fantozzi, DMD
• Todd Faraoni, LPCA, MA
• Dana Fardy
• Amy Walker Farmer, LCSW

• Optometrist in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.