Individual provider Active NPI

Luke Ferrin

  • Optometrist
  • Uncasville, CT
National Provider Identifier
1255089900
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3262 Issued in CT
Practice address
1920 Norwich New London Tpke
Uncasville, CT 06382-1384
Phone
(860) 848-8777
NPI assigned
Mar 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3262 CT Primary

Addresses

Primary practice location

1920 Norwich New London Tpke
Uncasville, CT 06382-1384

Mailing address

24 Bergin LN
Worcester, MA 01602-3102
Phone (801) 662-9677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221006002759 CT Practitioner - Optometry 3173909660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Massachusetts College of Osteopathy, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12 Coogan Blvd
Mystic, CT 06355-1938
Phone (860) 415-9292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3262CTMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision-Eye Health Center, LLC Optometrist CurrentSince Jul 11, 2022 Accepting new patients
Totalvision Eye Health Center LLC Optometrist CurrentSince Jul 11, 2022 Accepting new patients
Total Vision-Eye Health Center LLC Optometrist Current Accepting new patients
Total Vision-Eye Health Center LLC Optometrist Current Accepting new patients
I for an Eye, LLC Optometrist Past Accepting new patients

Locations

12 Coogan Blvd
Mystic, CT 06355
Phone (860) 415-9292

485 Willard Ave
Newington, CT 06111
Phone (860) 666-7053

1920 Norwich New London Tpke
Unit 8
Uncasville, CT 06382
Phone (860) 848-3388

1920 Norwich New London Tpke
Uncasville, CT 06382
Phone (860) 848-8777

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1255089900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BERGIN LN",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016023102",
            "telephone_number": "801-662-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 NORWICH NEW LONDON TPKE",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063821384",
            "telephone_number": "860-848-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIN",
        "first_name": "LUKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-11",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uncasville, CT

Sources for this page

Verify at the official NPI Registry.