Family Vision Center LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

000660 Issued in CT

Legal business name

FAMILY VISION CENTER LLC

Practice address

775 Main St
Stratford, CT 06615-7406

Phone

(203) 377-2020

Fax

(203) 381-9936

NPI assigned

Sep 23, 2005

Last updated

Apr 2, 2009By 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. Michael J Gorman, OD

Title

President

Phone

(203) 377-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 7

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.

• Harsida Desai, OD

  • Optometrist
  • West Haven, CT
  • NPI 1174046098
  Medicare reassignment NPD
• Lauren Diane Plass, O.D

  • Optometrist
  • Newington, CT
  • NPI 1750795910
  Medicare reassignment NPD
• Allison Raucci, OD

  • Optometrist
  • Stratford, CT
  • NPI 1811600778
  Medicare reassignment NPD
• Kimberly Raucci, OD

  • Optometrist
  • Stratford, CT
  • NPI 1578030458
  Medicare reassignment NPD
• Helen Ambizas, O.D.

  • Optometrist
  • Stratford, CT
  • NPI 1376716860
  Medicare reassignment
• Shawn Alexander Burns, O.D.

  • Optometrist
  • Stratford, CT
  • NPI 1912170408
  Medicare reassignment
• Sean West, OD

  • Optometrist
  • Stratford, CT
  • NPI 1114062999
  Medicare reassignment

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1548256647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066157406",
            "telephone_number": "203-377-2020",
            "fax_number": "203-381-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066157406",
            "telephone_number": "203-377-2020",
            "fax_number": "203-381-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-377-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "000660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004194809",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Care Visiting Nurse & Home Health Care Agency, LLC
• Family Care Visiting Nurse & Home Health Care Agency, LLC
• Family Care Visiting Nurse and Homecare Agency, LLC
• Family Resource Associates LLC
• Family Vision Center
• Andrew Stefan Fazekas, RPH
• Lorraine J Fedyna, OD
• Dennis L Feinberg, MD
• Mark P Feinberg, DMD
• Alan H Feldman, DPM

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.