Park Lane Eye Care, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

002480 Issued in CT

Legal business name

PARK LANE EYE CARE, INC

Practice address

50 Broad St
Milford, CT 06460-3358

Phone

(203) 878-8260

NPI assigned

Jul 9, 2015

Organization subpart

No

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

Authorized official

Name

Dr. James Roberts, O.D.NPI 1386746253

Title

President/Optometrist

Phone

(203) 878-8260

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

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

• James Roberts, O.D.

  • Optometrist
  • Milford, CT
  • NPI 1386746253
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1598148447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BROAD ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603358",
            "telephone_number": "203-878-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BROAD ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603358",
            "telephone_number": "203-878-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK LANE EYE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "203-878-8260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Panzella
• Kylie Pappas, LMSW
• Haley B Parent Ehlers, LPC
• John Parise
• Park Lane Eye Care, Inc
• Jesse Patrick Parks, DPM
• Patch Testing Centers of Excellence- Milford
• Darshana H Patel
• Kush Ghanshyam Patel, PA-C
• Mamta Patel, M.D.

• Optometrist in Milford, CT
• Providers in Milford, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.