Eaton Eyecare of Granby

Primary specialty

OptometristTaxonomy code 152W00000X

License

2878 Issued in CT

Legal business name

EATON EYECARE OF GRANBY

Practice address

16 E Granby Rd
Granby, CT 06035-2201

Phone

(860) 653-3008

NPI assigned

May 26, 2015

Last updated

May 26, 2015By 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

Dr. David Earl Eaton Jr., O.D.NPI 1831348598

Title

Member

Phone

(860) 951-6582

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

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.

• David Earl Eaton Jr., O.D.

  • Optometrist
  • Granby, CT
  • NPI 1831348598
  Medicare reassignment NPD Authorized official
• Richard Jon Russe, OD

  • Optometrist
  • Granby, CT
  • NPI 1669546842
  NPD (past)

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1447639349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 JOHN OLDS DR APT 208",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060428794",
            "telephone_number": "860-951-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E GRANBY RD",
            "city": "GRANBY",
            "state": "CT",
            "postal_code": "060352201",
            "telephone_number": "860-653-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATON EYECARE OF GRANBY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-951-6582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connecticut Physical Therapy Specialists LLC
• D & R Transportation Co Inc
• Greg Denalsky
• Eastern Rehabilitation Network
• Sharon Eastman
• David Earl Eaton Jr., O.D.
• Ellen Coloccia, Psy D LLC
• Nicole Ellrod, PT
• Kenneth Edward Endres, D.D.S.
• Chelsea Evans Reinhardt, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.