Active NPI
Matthew Blondin, Blondin Shea Eye Care
- Optometrist
- Torrington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MATTHEW BLONDIN, BLONDIN SHEA EYE CARE
- Practice address
- 379 Prospect Street
Suite B
Torrington, CT 06790 - Phone
- (860) 489-2781
- Fax
- (860) 489-9017
- NPI assigned
- Mar 29, 2018
- Last updated
- Mar 29, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew Blondin, OD, FAAO
- Title
- Owner
- Phone
- (860) 489-2781
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | CT | Primary |
Addresses
Primary practice location
379 Prospect Street
Suite B
Torrington, CT 06790
Mailing address
P.O. Box 448
Torrington, CT 06790
Phone (860) 489-2781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008072189 | Medicaid | CT |
National Provider Directory
National Provider Directory- Tax ID family
- Blondin Shea Eyecare
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Blondin Shea Eyecare
- Optometrist
- Torrington, CT
- NPI 1831647247
Locations
379 Prospect St
Ste B
Torrington, CT 06790
Phone (860) 489-2781
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Optometrist
- Torrington, CT
- NPI 1386611762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522281600000",
"number": "1558866509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 448",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "06790",
"telephone_number": "860-489-2781",
"fax_number": "860-489-9017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "379 PROSPECT STREET",
"address_2": "SUITE B",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "06790",
"telephone_number": "860-489-2781",
"fax_number": "860-489-9017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATTHEW BLONDIN, BLONDIN SHEA EYE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-29",
"last_updated": "2018-03-29",
"status": "A",
"authorized_official_last_name": "BLONDIN",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "860-489-2781",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD, FAAO"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008072189",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Torrington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.