NPIMap

Organization Active NPI

Westfarms Eye Associates PC

  • Optometrist
  • Farmington, CT
National Provider Identifier
1568520773
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CT2074 Issued in CT
Legal business name
WESTFARMS EYE ASSOCIATES PC
Practice address
61 Westfarms Mall D111
Farmington, CT 06032-2631
Phone
(860) 561-5687
Fax
(860) 561-8905
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Authorized official

Name
Dr. Wayne D Jenkins, OD
Title
Owner
Phone
(860) 561-5687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X CT2074 CT Primary

Addresses

Primary practice location

61 Westfarms Mall D111
Farmington, CT 06032-2631

Mailing address

61 Westfarms Mall D111
Farmington, CT 06032-2631
Phone (860) 561-5687

National Provider Directory

National Provider Directory

Locations

61 Westfarms Mall
#D111
Farmington, CT 06032
Phone (860) 561-5687

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": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1568520773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 WESTFARMS MALL D111",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322631",
            "telephone_number": "860-561-5687",
            "fax_number": "860-561-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 WESTFARMS MALL D111",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322631",
            "telephone_number": "860-561-5687",
            "fax_number": "860-561-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTFARMS EYE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-561-5687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "CT2074",
            "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 Oct 26, 2015; 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.