Organization Active NPI

Hartford Eye Wellness LLC

  • Optometrist
  • Hartford, CT
National Provider Identifier
1164947636
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HARTFORD EYE WELLNESS LLC
Practice address
419 Franklin Ave Ste 102
Hartford, CT 06114-2517
Phone
(860) 871-6507
Fax
(860) 871-5765
NPI assigned
Aug 7, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Wayne Castagna, O.D.
Title
Member
Phone
(860) 871-6507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

419 Franklin Ave Ste 102
Hartford, CT 06114-2517

Mailing address

41 Susan Dr
Tolland, CT 06084-2538
Phone (860) 872-4045

National Provider Directory

National Provider Directory

Locations

419 Franklin Ave
Hartford, CT 06114
Phone (860) 296-8630

419 Franklin Ave
Ste 102
Hartford, CT 06114
Phone (860) 871-6507

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1164947636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 SUSAN DR",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060842538",
            "telephone_number": "860-872-4045",
            "fax_number": "860-871-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 FRANKLIN AVE STE 102",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061142517",
            "telephone_number": "860-871-6507",
            "fax_number": "860-871-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD EYE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CASTAGNA",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-871-6507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.