NPIMap

Organization Active NPI

Family Eyecare of Orange, P.C.

  • Optometrist
  • Orange, CT
National Provider Identifier
1356731038
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2826 Issued in CT
Legal business name
FAMILY EYECARE OF ORANGE, P.C.
Practice address
501 Boston Post Rd
Suite 13
Orange, CT 06477-3567
Phone
(203) 795-3937
Fax
(203) 891-0737
NPI assigned
Feb 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Authorized official

Name
Dr. Natacha Louis-CharlesNPI 1467418236
Title
Owner/President
Phone
(203) 795-3937

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 2826 CT Primary

Addresses

Primary practice location

501 Boston Post Rd
Suite 13
Orange, CT 06477-3567

Mailing address

501 Boston Post Rd
Suite 13
Orange, CT 06477-3567
Phone (203) 795-3937

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150226001232 CT Part B Supplier - Clinic/Group Practice 9032435698 Receives reassigned benefits from 4 practitioners
Practice locations: Orange, CT

National Provider Directory

National Provider Directory

Locations

501 Boston Post Rd
Ste 13
Orange, CT 06477
Phone (203) 795-3937

Practitioners & affiliated clinicians

Practitioners 4

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": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544659200000",
    "number": "1356731038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BOSTON POST RD",
            "address_2": "SUITE 13",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773567",
            "telephone_number": "203-795-3937",
            "fax_number": "203-891-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BOSTON POST RD",
            "address_2": "SUITE 13",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773567",
            "telephone_number": "203-795-3937",
            "fax_number": "203-891-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYECARE OF ORANGE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2018-12-13",
        "status": "A",
        "authorized_official_last_name": "LOUIS-CHARLES",
        "authorized_official_first_name": "NATACHA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "203-795-3937",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; 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.