Norwich Optometry LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NORWICH OPTOMETRY LLC

Practice address

22 Salem Turnpike
Norwich, CT 06360-6516

Phone

(860) 886-1155

Fax

(860) 308-1505

NPI assigned

Apr 25, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas Edward Wisniewski, D.O.NPI 1124199864

Title

Owner

Phone

(860) 886-1155

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 3

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

• Nicholas E. Wisniewski, O.D.

  • Optometrist
  • Colchester, CT
  • NPI 1124199864
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer L Capstick, O.D.

  • Optometrist
  • Willimantic, CT
  • NPI 1598195216
  Medicare reassignment Care Compare group NPD
• Gregory James Nigrelli, O.D.

  • Optometrist
  • Manchester, CT
  • NPI 1891195830
  Medicare reassignment NPD

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1386208288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SALEM TURNPIKE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063606516",
            "telephone_number": "860-886-1155",
            "fax_number": "860-308-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SALEM TURNPIKE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063606516",
            "telephone_number": "860-886-1155",
            "fax_number": "860-308-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORWICH OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "WISNIEWSKI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-886-1155",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "002700",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nick_wisniewski@hotmail.com",
            "affiliation": "N",
            "address_1": "22 Salem Tpke",
            "city": "Norwich",
            "state": "CT",
            "country_code": "US",
            "postal_code": "063606516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Norwich Oral & Maxillofacial Surgeons, PC
• Norwich Pathology Consultants, P.C.
• Norwich Pediatric Group, P.C.
• Norwich Pharmacy LLC
• Norwich Pharmacy LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.