Complete Family Eyecare, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2546 Issued in CT

Legal business name

COMPLETE FAMILY EYECARE, LLC

Practice address

238G Tolland Tpke
Manchester, CT 06042-5706

Phone

(860) 281-1501

NPI assigned

Oct 1, 2012

Last updated

Oct 1, 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. Gina Lippi, ODNPI 1811913593

Title

Member

Phone

(860) 644-1912

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 2

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.

• Gina M Lippi, O.D.

  • Optometrist
  • Manchester, CT
  • NPI 1811913593
  Medicare reassignment NPD Authorized official
• Jacqueline Rohan, O.D.

  • Optometrist
  • Manchester, CT
  • NPI 1346887676
  Medicare reassignment NPD

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1356692214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 ELLSWORTH CIR",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742368",
            "telephone_number": "860-644-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238G TOLLAND TPKE",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060425706",
            "telephone_number": "860-281-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE FAMILY EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "LIPPI",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-644-1912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.