Westvillage Optician

Primary specialty

OpticianTaxonomy code 156FX1800X

License

L106 Issued in CT

Legal business name

WESTVILLAGE OPTICIAN

Practice address

904 Whalley Ave
New Haven, CT 06515-1700

Phone

(203) 397-1928

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Paula Lupi

Title

Owner

Phone

(203) 397-1928

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Noreen Dedomenico, OPTICIAN

  • Optician
  • New Haven, CT
  • NPI 1891919585
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1619198181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 WHALLEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 WHALLEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151700",
            "telephone_number": "203-397-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTVILLAGE OPTICIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "LUPI",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-397-1928"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "L106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "112900",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SUPPLIER NUMBER",
            "identifier": "0521380001",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Westermann
• Ashley R Western, APRN
• Anna Catherine Westmoreland, MD
• Alexander Robin Nicholas Westphal, M.D.
• Tormod Schumacher Westvik, M.D.
• Dana Wetmore, LPC
• Nicole Ann Wetmore, M.S.
• Bruce E Wexler, M.D.
• Joan Wexler, L.C.S.W.
• Kate Weyhrich, PA-C

• Optician in New Haven, CT
• Providers in New Haven, CT by specialty
• Optician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.