NPIMap

Organization Active NPI

Center for Vision Care, LLC

  • Optometrist
  • Monroe, CT
National Provider Identifier
1679727218
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CENTER FOR VISION CARE, LLC
Practice address
535 Monroe Tpke
A-3
Monroe, CT 06468-2382
Phone
(203) 268-7799
Fax
(203) 261-3723
NPI assigned
Nov 10, 2008
Last updated
Dec 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Authorized official

Name
Dr. Dennis Paul Iadarola, O.DNPI 1649251562
Title
Owner/ Optometrist
Phone
(203) 268-7799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

535 Monroe Tpke
A-3
Monroe, CT 06468-2382

Mailing address

535 Monroe Turnpike
A-3
Monroe, CT 06468
Phone (203) 268-7799

Other identifiers 1

IdentifierTypeStateIssuer
4137495MedicaidCT

National Provider Directory

National Provider Directory

Locations

535 Monroe Tpke
Ste A-3
Monroe, CT 06468
Phone (203) 268-7799

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1679727218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 MONROE TURNPIKE",
            "address_2": "A-3",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "06468",
            "telephone_number": "203-268-7799",
            "fax_number": "203-261-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 MONROE TPKE",
            "address_2": "A-3",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682382",
            "telephone_number": "203-268-7799",
            "fax_number": "203-261-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR VISION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "IADAROLA",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/ OPTOMETRIST",
        "authorized_official_telephone_number": "203-268-7799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4137495",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.