Progressivision PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2103 Issued in CT

Legal business name

PROGRESSIVISION PC

Practice address

3034 Summer St
Stamford, CT 06905-4311

Phone

(203) 975-7565

Fax

(203) 975-8303

NPI assigned

Jul 27, 2007

Last updated

Jul 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Gerard Rayher, OD

Title

Vice President

Phone

(203) 975-7565

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Geoffrey Leland Nemser, OD

  • Optometrist
  • Stamford, CT
  • NPI 1871573535
  Medicare reassignment NPD
• Karlos Boghosian, D.C

  • Chiropractor
  • Hartford, CT
  • NPI 1104999291
  NPD (past)
• David Karbowski, DC

  • Chiropractor
  • Hartford, CT
  • NPI 1235727314
  NPD (past)
• Randolph Clay Kinkade, O.D.

  • Low Vision Rehabilitation Optometrist
  • Litchfield, CT
  • NPI 1881745032
  NPD (past)

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1194915900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3034 SUMMER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069054311",
            "telephone_number": "203-975-7565",
            "fax_number": "203-975-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3034 SUMMER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069054311",
            "telephone_number": "203-975-7565",
            "fax_number": "203-975-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVISION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "RAYHER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "203-975-7565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jake Proscia
• Proxima Solutions Inc
• Debra L Pruzan, M.D.
• Tatianna Pryce, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.