NPIMap

Organization Active NPI

Visionary Eyecare

  • Optician
  • Wallingford, CT
National Provider Identifier
1558518936
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
VISIONARY EYECARE
Practice address
930 N Colony Rd
Wallingford, CT 06492-2471
Phone
(203) 265-4362
NPI assigned
Aug 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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

Authorized official

Name
Mr. Brian Fitsimmons
Title
Owner
Phone
(860) 505-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

930 N Colony Rd
Wallingford, CT 06492-2471

Mailing address

930 N Colony Rd
Wallingford, CT 06492-2471
Phone (203) 265-4362

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1558518936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 N COLONY RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922471",
            "telephone_number": "203-265-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N COLONY RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922471",
            "telephone_number": "203-265-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "FITSIMMONS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-505-0100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.