NPIMap

Organization Active NPI

Susan J. Devine OD, LLC

  • Optometrist
  • East Windsor, CT
National Provider Identifier
1376681510
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SUSAN J. DEVINE OD, LLC
Practice address
44 Prospect Hill Rd
East Windsor, CT 06088-9501
Phone
(860) 623-8013
Fax
(860) 627-6433
NPI assigned
Feb 1, 2007
Last updated
Oct 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Authorized official

Name
Dr. Susan J Devine, ODNPI 1467590679
Title
Owner
Phone
(860) 623-8013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

44 Prospect Hill Rd
East Windsor, CT 06088-9501

Mailing address

PO Box 438
East Windsor, CT 06088-0438
Phone (860) 623-8013

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1376681510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 438",
            "city": "EAST WINDSOR",
            "state": "CT",
            "postal_code": "060880438",
            "telephone_number": "860-623-8013",
            "fax_number": "860-627-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 PROSPECT HILL RD",
            "city": "EAST WINDSOR",
            "state": "CT",
            "postal_code": "060889501",
            "telephone_number": "860-623-8013",
            "fax_number": "860-627-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN J. DEVINE OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "DEVINE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-623-8013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.