Organization Active NPI

Jaya Vision, PC

  • Optometrist
  • Brookfield, CT
National Provider Identifier
1669277760
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JAYA VISION, PC
Practice address
200 Federal Rd
Brookfield, CT 06804-2514
Phone
(203) 740-7623
NPI assigned
Feb 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Shreya Jayasimha, OD
Title
Optometry Owner
Phone
(857) 271-9190

Specialties & licenses 1

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

Addresses

Primary practice location

200 Federal Rd
Brookfield, CT 06804-2514

Mailing address

407 Strawberry Hill Ave
Stamford, CT 06902-2513
Phone (857) 271-9190

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1669277760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 STRAWBERRY HILL AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022513",
            "telephone_number": "857-271-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FEDERAL RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042514",
            "telephone_number": "203-740-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYA VISION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "JAYASIMHA",
        "authorized_official_first_name": "SHREYA",
        "authorized_official_title_or_position": "OPTOMETRY OWNER",
        "authorized_official_telephone_number": "857-271-9190",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.