Organization Active NPI

McGlynn Eye Care LLC

  • Optometrist
  • Newtown, CT
National Provider Identifier
1639428790
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002854 Issued in CT
Legal business name
MCGLYNN EYE CARE LLC
Practice address
14 Church Hill Rd
Suite C-10
Newtown, CT 06470-1640
Phone
(203) 426-2727
Fax
(203) 426-5113
NPI assigned
Sep 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Authorized official

Name
Dr. Kelly McGlynn, O.D.
Title
Optometrist/ Owner
Phone
(203) 426-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 002854 CT Primary

Addresses

Primary practice location

14 Church Hill Rd
Suite C-10
Newtown, CT 06470-1640

Mailing address

14 Church Hill Rd
Suite C-10
Newtown, CT 06470-1640
Phone (203) 426-2727

Other names 1

  • Moore & McGlynn Eye Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1639428790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CHURCH HILL RD",
            "address_2": "SUITE C-10",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701640",
            "telephone_number": "203-426-2727",
            "fax_number": "203-426-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CHURCH HILL RD",
            "address_2": "SUITE C-10",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701640",
            "telephone_number": "203-426-2727",
            "fax_number": "203-426-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGLYNN EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "MCGLYNN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OPTOMETRIST/ OWNER",
        "authorized_official_telephone_number": "203-426-2727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moore & McGlynn Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newtown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.