Stratford Eyecare Associates, L.L.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

STRATFORD EYECARE ASSOCIATES, L.L.C.

Practice address

1040 Barnum Ave
Stratford, CT 06614-4968

Phone

(203) 378-2269

Fax

(203) 377-7207

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Ann Carroll, ODNPI 1548303928

Title

Owner

Phone

(203) 378-2269

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Ann Carroll, OD

  • Optometrist
  • Stratford, CT
  • NPI 1548303928
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1295866242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 BARNUM AVE",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144968",
            "telephone_number": "203-378-2269",
            "fax_number": "203-377-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 BARNUM AVE",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144968",
            "telephone_number": "203-378-2269",
            "fax_number": "203-377-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATFORD EYECARE ASSOCIATES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-378-2269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "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": "004199023",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Stratford Board of Education (Stratford Public Schools)
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• Stratford Markets LLC (Shoprite Pharmacy)
• Stratford Orthodontics
• Stratford Orthodontics
• Stratford Pediatric Associates, P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.

Verify at the official NPI Registry.