Villacis Eyecare III, LLC
Organization Active NPI Optometrist · Southbury, CT
NPI 1558039685 · NPPES record last updated Oct 14, 2021
Key facts
- NPI
- 1558039685
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- VILLACIS EYECARE III, LLC
- Practice address
- 1449 Old Waterbury Rd
Unit 304
Southbury, CT 06488-3926 - Phone
- (203) 267-2020
- NPI assigned
- Sep 2, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Fabian Cesar Villacis, OD
- Title
- Owner
- Phone
- (203) 887-1265
Practitioners 6
-
Fabian Cesar Villacis, O.D.
-
Angela Eng, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211014001824 | CT | Part B Supplier - Clinic/Group Practice | 3274931688 |
Receives reassigned benefits from 4 practitioners Practice locations: Southbury, CT |
National Provider Directory
Locations
1449 Old Waterbury Rd
Unit 304
Southbury, CT 06488
Phone (203) 267-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
1449 Old Waterbury Rd
Unit 304
Southbury, CT 06488-3926
Mailing address
1449 Old Waterbury Rd
Unit 304
Southbury, CT 06488-3926
Phone (203) 267-2020
Other names
- New Insight Family EyeCare
Other providers in Southbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.