Eye Life Vision LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE LIFE VISION LLC

Practice address

1131 West St
Building 1, Suite 4
Southington, CT 06489-6006

Phone

(860) 840-7929

NPI assigned

Aug 25, 2014

Organization subpart

No

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

Authorized official

Name

Richard Sui, ODNPI 1639102932

Title

Member

Phone

(860) 660-2400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 3

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

• Richard Sui, O.D.

  • Optometrist
  • Southington, CT
  • NPI 1639102932
  Medicare reassignment Care Compare group NPD Authorized official
• Nicole Elizabeth Roy

  • Optometrist
  • Newington, CT
  • NPI 1215557756
  Medicare reassignment Care Compare group NPD
• Julie S. Sheen, O.D.

  • Optometrist
  • South Windsor, CT
  • NPI 1659587558
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439683200000",
    "number": "1679973820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 WEST ST",
            "address_2": "BLD 1, SUITE 4",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064896006",
            "telephone_number": "860-660-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 WEST ST",
            "address_2": "BUILDING 1, SUITE 4",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064896006",
            "telephone_number": "860-840-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE LIFE VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2015-08-16",
        "status": "A",
        "authorized_official_last_name": "SUI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-660-2400",
        "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": []
}

• Cynthia Enright, PHARMD
• Jeffrey Erdman
• Joanne Etter, LLC
• Euro Homecare LLC
• Ever Upward Counseling, LLC
• Eye-Wear Glasses Inc
• Alicia Mary Fagan, LCSW
• Janet Fall, MT-BC
• Rebecca Hilda Fede, LMFTA
• Emily Felske, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.