NPIMap

Organization Active NPI

Windham Eye Group

  • Eyewear Supplier
  • Willimantic, CT
National Provider Identifier
1245529973
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
001663 Issued in CT
Legal business name
WINDHAM EYE GROUP
Practice address
83 Quarry St
Willimantic, CT 06226-1238
Phone
(860) 423-1619
Fax
(860) 423-7640
NPI assigned
Apr 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Authorized official

Name
Dr. Dana P Woods, M.D.
Title
President
Phone
(860) 423-1619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 001663 CT Primary

Addresses

Primary practice location

83 Quarry St
Willimantic, CT 06226-1238

Mailing address

83 Quarry St
Willimantic, CT 06226-1238
Phone (860) 423-1619

Other names 1

  • Windham Eye Group Optical Shop Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1245529973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 QUARRY ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062261238",
            "telephone_number": "860-423-1619",
            "fax_number": "860-423-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 QUARRY ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062261238",
            "telephone_number": "860-423-1619",
            "fax_number": "860-423-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDHAM EYE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-423-1619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CT",
            "license": "001663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windham Eye Group Optical Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willimantic, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.