Organization Active NPI

Oculusdocs, LLC

  • Optometrist
  • Glastonbury, CT
National Provider Identifier
1407490055
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OCULUSDOCS, LLC
Practice address
221 Addison Rd Ste 105
Glastonbury, CT 06033-5608
Phone
(860) 838-3838
Fax
(860) 838-3840
NPI assigned
Nov 6, 2019
Last updated
Jun 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Authorized official

Name
Dr. Jenny Y. Cha, O.D.NPI 1790861524
Title
Owner/Member
Phone
(860) 916-4753

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary
Corneal and Contact Management Optometrist 152WC0802X NU

Addresses

Primary practice location

221 Addison Rd Ste 105
Glastonbury, CT 06033-5608

Mailing address

221 Addison Rd Ste 105
Glastonbury, CT 06033-5608
Phone (860) 838-3838

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200102000580 CT Part B Supplier - Clinic/Group Practice 0547694465 Receives reassigned benefits from 7 practitioners
Practice locations: Glastonbury, CT

National Provider Directory

National Provider Directory

Locations

221 Addison Rd
Ste 105
Glastonbury, CT 06033
Phone (860) 838-3838

Practitioners & affiliated clinicians

Practitioners 8

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": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1407490055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 ADDISON RD STE 105",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060335608",
            "telephone_number": "860-838-3838",
            "fax_number": "860-838-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 ADDISON RD STE 105",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060335608",
            "telephone_number": "860-838-3838",
            "fax_number": "860-838-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCULUSDOCS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "CHA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "860-916-4753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.