Organization Active NPI

Tommasina Enterprises, LLC

Doing business as Eyes on Litchfield

  • Optometrist
  • Litchfield, CT
National Provider Identifier
1295180339
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2930 Issued in CT
Legal business name
TOMMASINA ENTERPRISES, LLC
Doing business as
Eyes on Litchfield
Practice address
17C Commons Dr
Litchfield, CT 06759-3448
Phone
(860) 880-2020
NPI assigned
Apr 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Tommasina Pasqua Sideris, ODNPI 1942297312
Title
Owner
Phone
(860) 880-2020

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2930 CT Primary

Addresses

Primary practice location

17C Commons Dr
Litchfield, CT 06759-3448

Mailing address

17C Commons Dr
Litchfield, CT 06759-3448
Phone (860) 880-2020

Other names 1

  • EYES ON LITCHFIELD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160705002022 CT Part B Supplier - Clinic/Group Practice 3173815586 Receives reassigned benefits from 1 practitioner
Practice locations: Litchfield, CT

National Provider Directory

National Provider Directory

Locations

17C Commons Dr
Ste 3
Litchfield, CT 06759
Phone (860) 880-2020

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": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1295180339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17C COMMONS DR",
            "city": "LITCHFIELD",
            "state": "CT",
            "postal_code": "067593448",
            "telephone_number": "860-880-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17C COMMONS DR",
            "city": "LITCHFIELD",
            "state": "CT",
            "postal_code": "067593448",
            "telephone_number": "860-880-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMMASINA ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "SIDERIS",
        "authorized_official_first_name": "TOMMASINA",
        "authorized_official_middle_name": "PASQUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-880-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYES ON LITCHFIELD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Litchfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.

Verify at the official NPI Registry.