Myeyedr Optometry of Connecticut, LLC

Organization Active NPI Optometrist · Rocky Hill, CT

NPI 1164924643 · NPPES record last updated May 23, 2022

Key facts

NPI
1164924643
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
Legal business name
MYEYEDR OPTOMETRY OF CONNECTICUT, LLC
Practice address
2162 Silas Dean Highway
Rocky Hill, CT 06067
Phone
(860) 529-9740
Fax
(860) 563-8483
NPI assigned
Mar 1, 2018
Organization subpart
No

Authorized official

Name
Sue Healey
Title
Secretary
Phone
(703) 847-8899

Other NPIs on the same Medicare enrollment 33

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

View all 33

Corporate family (same tax ID) 17

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

Practitioners 30

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

View all 30

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20160217001075 CT Part B Supplier - Clinic/Group Practice 1557666237 Receives reassigned benefits from 126 practitioners
33 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Norwalk, CT; Orange, CT; Ridgefield, CT; Rocky Hill, CT; Shelton, CT; South Windsor, CT; Southbury, CT; Suffield, CT…

National Provider Directory

Tax ID family
Myeyedr Optometry of Connecticut LLC (18 organizations share this tax ID)

Locations

6088 Greenbelt Rd
Unit 44
Greenbelt, MD 20770
Phone (301) 614-3937

10313 Georgia Ave
Ste 109
Silver Spring, MD 20902
Phone (301) 681-9797

1961 S Telegraph Rd
Ste 101
Bloomfield Township, MI 48302
Phone (248) 972-2555

2799 W Grand Blvd
Ste K1
Detroit, MI 48202

50 S Main St
Ste 138
Fairport, NY 14450
Phone (585) 223-8480

3180 Latta Rd
Ste 300
Rochester, NY 14612
Phone (585) 663-6655

2305 Union Rd
West Seneca, NY 14224
Phone (716) 656-1321

5350 Main St
Williamsville, NY 14221
Phone (716) 218-0022

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP
152W00000X Yes

Addresses

Primary practice location

2162 Silas Dean Highway
Rocky Hill, CT 06067

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other names

  • MyEyeDr. Doing business as

Other providers in Rocky Hill, CT

All providers in Rocky Hill, CT · Optometrist in Connecticut

Sources for this page

Verify at the official NPI Registry.