Active NPI
Garry S Kain, OD
- Optometrist
- Southington, CT
National Provider Identifier
1407908775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- CT 000786
- Practice address
- 27 Meriden Avenue
Southington, CT 06489 - Phone
- (860) 628-9937
- Fax
- (860) 621-4911
- NPI assigned
- Jan 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | CT 000786 | CT | Primary |
Addresses
Primary practice location
27 Meriden Avenue
Southington, CT 06489
Mailing address
27 Meriden Avenue
Southington, CT 06489
Phone (860) 628-9937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CT 000786 | CT | MD | Optometrist |
| 786 | CT | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southington Optometric Care, LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Terryville, CT
- NPI 1134315427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193788800000",
"number": "1407908775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 MERIDEN AVENUE",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "06489",
"telephone_number": "860-628-9937",
"fax_number": "860-621-4911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 MERIDEN AVENUE",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "06489",
"telephone_number": "860-628-9937",
"fax_number": "860-621-4911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAIN",
"first_name": "GARRY",
"middle_name": "S",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2007-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "CT 000786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.