Active NPI
Michael Stephen Soehnlen, O.D
- Optometrist
- Cromwell, CT
National Provider Identifier
1457460149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 002631
- Practice address
- 161 Berlin Rd
Cromwell, CT 06416-1021 - Phone
- (203) 982-2107
- NPI assigned
- Aug 29, 2006
- Last updated
- Feb 27, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 002631 | CT | Primary |
| Optometrist | 152W00000X | 27OA00590200 | NJ |
Addresses
Primary practice location
161 Berlin Rd
Cromwell, CT 06416-1021
Mailing address
118 Montoya Cir
Branford, CT 06405-2551
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002631 | CT | MD | Clinical Social Worker |
| 27OA00590200 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc | Past | Accepting new patients | |
| King Family Eye Care, LLC | Optometrist | Past | Accepting new patients |
| Town Line Eye Care, LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Old Saybrook, CT
- NPI 1508925330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361923200000",
"number": "1457460149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 MONTOYA CIR",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064052551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 BERLIN RD",
"city": "CROMWELL",
"state": "CT",
"postal_code": "064161021",
"telephone_number": "203-982-2107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOEHNLEN",
"first_name": "MICHAEL",
"middle_name": "STEPHEN",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2013-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "002631",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00590200",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cromwell, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.