Mvca

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MVCA

Practice address

Navy Submarine Base New London
BLDG 484
Groton, CT 06349

Phone

(860) 451-9733

NPI assigned

Oct 12, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth McMunn, OD

Title

Managing Member

Phone

(860) 857-9145

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1205434347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 QUAILCREST RD",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331328",
            "telephone_number": "860-857-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVY SUBMARINE BASE NEW LONDON",
            "address_2": "BLDG 484",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "06349",
            "telephone_number": "860-451-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "MCMUNN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "860-857-9145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.