Connecticut Advanced Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2672 Issued in CT

Legal business name

CONNECTICUT ADVANCED EYECARE LLC

Practice address

67 Wells Rd
Wethersfield, CT 06109-3043

Phone

(860) 529-5429

Fax

(860) 563-5202

NPI assigned

Oct 7, 2009

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maha Lakshmi Ramamurthy, OD, MSNPI 1154492718

Title

Optometrist

Phone

(860) 529-5429

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

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.

• Maha Ramamurthy, O.D., M.S.

  • Optometrist
  • Wethersfield, CT
  • NPI 1154492718
  Medicare reassignment NPD Authorized official
• Jerome I Glazer, O.D.

  • Optometrist
  • Wethersfield, CT
  • NPI 1497774301
  NPD (past)

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1427383579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 WELLS RD",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061093043",
            "telephone_number": "860-529-5429",
            "fax_number": "860-563-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 WELLS RD",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061093043",
            "telephone_number": "860-529-5429",
            "fax_number": "860-563-5202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Kane St",
            "address_2": "Unit A2",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061192197",
            "country_code": "US",
            "telephone_number": "860-231-9091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONNECTICUT ADVANCED EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "RAMAMURTHY",
        "authorized_official_first_name": "MAHA",
        "authorized_official_middle_name": "LAKSHMI",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "860-529-5429",
        "authorized_official_credential": "OD, MS"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2672",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CT",
            "license": "2672",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CT",
            "license": "2672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Colasurdo Nolan, O.D.
• Caitlin Cole, PA-C
• Patricia Sivo Cole, PH.D.
• Columbus Eye Associates
• Comprehensive Psychological & Assessment Services LLC
• Connecticut Anesthesia and Pain Associates PLLC (B.D. Interventional Pain Management Center)
• Connecticut CVS Pharmacy LLC (CVS Pharmacy #00348)
• Connecticut Ear, Nose & Throat Associates, P.C.
• Connecticut Hearing Center
• Connecticut Imaging Partners, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.