Oec Waterbury LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

002346 Issued in CT

Legal business name

OEC WATERBURY LLC

Practice address

3528 E Main St
Waterbury, CT 06705-3873

Phone

(203) 377-3934

NPI assigned

Dec 13, 2016

Last updated

Dec 13, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

ORONOQUE EYE CARE INCAs reported in NPPES

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

Authorized official

Name

Dr. Karen Bonnanzio, O.D.NPI 1508955873

Title

Member

Phone

(203) 377-3937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Part of

Oronoque Eye Care Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Oronoque Eye Care Inc.

  • Optometrist
  • Stratford, CT
  • NPI 1801834247
  NPPES parent name

Practitioners 4

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.

• Karen Grante Bonnanzio, O.D.

  • Optometrist
  • Stratford, CT
  • NPI 1508955873
  Medicare reassignment Care Compare group NPD Authorized official
• Kurt Joseph Tichy, O.D.

  • Optometrist
  • Stratford, CT
  • NPI 1750338414
  Medicare reassignment Care Compare group NPD
• Vicky Katherine Yiannoulis

  • Optometrist
  • Newington, CT
  • NPI 1225534936
  Medicare reassignment Care Compare group NPD
• Tiffany Nicole Deleon, OD

  • Optometrist
  • Naugatuck, CT
  • NPI 1760969133
  Medicare reassignment NPD

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1477097285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7365 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141300",
            "telephone_number": "203-377-3937",
            "fax_number": "888-741-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3528 E MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053873",
            "telephone_number": "203-377-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OEC WATERBURY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORONOQUE EYE CARE INC",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "BONNANZIO",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-377-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Denis J Oconnor, R.PH
• Raymond J Odiorne
• Lawrence Ogbogu, APRN
• Hyesuk Oh, DDS
• Taylor Ohayon
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• Oosha Ojha, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.