Active NPI
Padula Family Vision & Sports Enhancement Center, LLC
- Sports Vision Optometrist
- Guilford, CT
National Provider Identifier
1275025207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Vision Optometrist
- License
- 000858
- Legal business name
- PADULA FAMILY VISION & SPORTS ENHANCEMENT CENTER, LLC
- Practice address
- 37 Soundview Rd Ste 1
Guilford, CT 06437-2965 - Phone
- (203) 453-0617
- NPI assigned
- Jun 5, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William V Padula, OD
- Title
- Owner
- Phone
- (203) 453-0617
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Vision Optometrist | 152WS0006X | 000858 | CT | Primary |
Addresses
Primary practice location
37 Soundview Rd Ste 1
Guilford, CT 06437-2965
Mailing address
37 Soundview Rd Ste 1
Guilford, CT 06437-2965
Phone (203) 453-0617
National Provider Directory
National Provider DirectoryLocations
37 Soundview Rd
Ste 1
Guilford, CT 06437
Phone (203) 453-0617
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Low Vision Rehabilitation Optometrist
- Guilford, CT
- NPI 1881770477
Sports Vision
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528156800000",
"number": "1275025207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 SOUNDVIEW RD STE 1",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064372965",
"telephone_number": "203-453-0617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 SOUNDVIEW RD STE 1",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064372965",
"telephone_number": "203-453-0617"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PADULA FAMILY VISION & SPORTS ENHANCEMENT CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-05",
"last_updated": "2018-06-05",
"status": "A",
"authorized_official_last_name": "PADULA",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-453-0617",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152WS0006X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Sports Vision",
"state": "CT",
"license": "000858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guilford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.