Organization Active NPI

Childrens Eye Care PC

  • Ophthalmology Physician
  • Farmington, CT
National Provider Identifier
1558473181
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CHILDRENS EYE CARE PC
Practice address
366 Colt Hwy
Farmington, CT 06032-2547
Phone
(860) 409-0449
Fax
(860) 409-0551
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Authorized official

Name
Paul R. Mitchell, M.D
Title
President
Phone
(860) 409-0449

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

366 Colt Hwy
Farmington, CT 06032-2547

Mailing address

366 Colt Hwy
Farmington, CT 06032-2547
Phone (860) 409-0449

National Provider Directory

National Provider Directory

Locations

366 Colt Hwy
Bldg 2
Farmington, CT 06032

366 Route 6
Farmington, CT 06032
Phone (860) 408-0449

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1558473181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 COLT HWY",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322547",
            "telephone_number": "860-409-0449",
            "fax_number": "860-409-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 COLT HWY",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322547",
            "telephone_number": "860-409-0449",
            "fax_number": "860-409-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-409-0449",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.