Somers Vision Clinic, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

002122 Issued in CT

Legal business name

SOMERS VISION CLINIC, LLC

Practice address

48 South Rd # 8
Somers, CT 06071-2160

Phone

(860) 763-4733

Fax

(860) 749-6795

NPI assigned

Dec 28, 2012

Last updated

Dec 28, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Steven R Squillace, ODNPI 1265427983

Title

Member

Phone

(860) 763-4733

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Richard Squillace, O.D.

  • Corneal and Contact Management Optometrist
  • Somers, CT
  • NPI 1265427983
  NPD (past) Authorized official

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1295071934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801",
            "address_2": "48 SOUTH RD #8",
            "city": "SOMERS",
            "state": "CT",
            "postal_code": "060710801",
            "telephone_number": "860-763-4733",
            "fax_number": "860-749-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 SOUTH RD # 8",
            "city": "SOMERS",
            "state": "CT",
            "postal_code": "060712160",
            "telephone_number": "860-763-4733",
            "fax_number": "860-749-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERS VISION CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-28",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "SQUILLACE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-763-4733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Somers Family Practice
• Somers Family Practice, LLC
• Somers Pharmacy & Gifts, LLC
• Somers Pharmacy LLC (Somers Pharmacy)
• Somers Public Schools
• Steven Richard Squillace, O.D.
• Stafford Medical Group LLC
• George Paul Sulikowski, D.C.
• The Social Foundry ABA, LLC
• Therapath, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.