Active NPI
West End Eye Care LLC
- Optometrist
- Hartford, CT
National Provider Identifier
1275684037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- WEST END EYE CARE LLC
- Practice address
- 553 Farmington Ave
Hartford, CT 06105-3048 - Phone
- (860) 236-5831
- NPI assigned
- Jan 16, 2007
- 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. Jerry Hardison, O.D.
- Title
- Owner
- Phone
- (860) 236-5831
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
553 Farmington Ave
Hartford, CT 06105-3048
Mailing address
553 Farmington Ave
Hartford, CT 06105-3048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4205250 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
553 Farmington Ave
Hartford, CT 06105
Phone (860) 236-5831
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Hartford, CT
- NPI 1487883484
-
- Optometrist
- Hartford, CT
- NPI 1457793432
-
- Optometrist
- Hartford, CT
- NPI 1023740693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267747200000",
"number": "1275684037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "553 FARMINGTON AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061053048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "553 FARMINGTON AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061053048",
"telephone_number": "860-236-5831"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST END EYE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2010-03-05",
"status": "A",
"authorized_official_last_name": "HARDISON",
"authorized_official_first_name": "JERRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "860-236-5831",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4205250",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.