NPIMap

Organization Active NPI

Vision Center of Farmington Valley LLC

  • Optician
  • Weatogue, CT
National Provider Identifier
1154449213
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
CT1222 Issued in CT
Legal business name
VISION CENTER OF FARMINGTON VALLEY LLC
Practice address
110 Hopmeadow St
Suite 100
Weatogue, CT 06089-9407
Phone
(860) 658-1704
Fax
(860) 651-9966
NPI assigned
Mar 27, 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
Mr. Joseph Sylvestre
Title
Licensed Optician Owner
Phone
(860) 658-1704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X CT1222 CT Primary

Addresses

Primary practice location

110 Hopmeadow St
Suite 100
Weatogue, CT 06089-9407

Mailing address

110 Hopmeadow St
Suite 100
Weatogue, CT 06089-9407
Phone (860) 658-1704

National Provider Directory

National Provider Directory

Locations

110 Hopmeadow St
Ste 100
Weatogue, CT 06089
Phone (404) 384-2744

Practitioners & affiliated clinicians

Practitioners 2

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154449213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HOPMEADOW ST",
            "address_2": "SUITE 100",
            "city": "WEATOGUE",
            "state": "CT",
            "postal_code": "060899407",
            "telephone_number": "860-658-1704",
            "fax_number": "860-651-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOPMEADOW ST",
            "address_2": "SUITE 100",
            "city": "WEATOGUE",
            "state": "CT",
            "postal_code": "060899407",
            "telephone_number": "860-658-1704",
            "fax_number": "860-651-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CENTER OF FARMINGTON VALLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SYLVESTRE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "LICENSED OPTICIAN OWNER",
        "authorized_official_telephone_number": "860-658-1704",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "CT1222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatogue, 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.

Verify at the official NPI Registry.