NPIMap

Organization Active NPI

Westport Eyecare Associates, LLC

  • Optometrist
  • Westport, CT
National Provider Identifier
1164745535
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002405 Issued in CT
Legal business name
WESTPORT EYECARE ASSOCIATES, LLC
Practice address
212 Post Rd W
Westport, CT 06880-4604
Phone
(203) 226-9426
Fax
(203) 226-6230
NPI assigned
Mar 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Authorized official

Name
Dr. Barbara C ManionNPI 1497807861
Title
Optometrist
Phone
(203) 226-9426

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 002405 CT Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X 002739 CT

Addresses

Primary practice location

212 Post Rd W
Westport, CT 06880-4604

Mailing address

212 Post Rd W
Westport, CT 06880-4604
Phone (203) 226-9426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120829000451 CT Part B Supplier - Clinic/Group Practice 2567619398 Receives reassigned benefits from 3 practitioners
Practice locations: Westport, CT

National Provider Directory

National Provider Directory

Locations

212 Post Rd W
Westport, CT 06880
Phone (203) 226-9426

Practitioners & affiliated clinicians

Practitioners 3

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": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1164745535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 POST RD W",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804604",
            "telephone_number": "203-226-9426",
            "fax_number": "203-226-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 POST RD W",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804604",
            "telephone_number": "203-226-9426",
            "fax_number": "203-226-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTPORT EYECARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "MANION",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "203-226-9426",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002405",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CT",
            "license": "002739",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.