Individual provider Active NPI

Lauren Briana Guzik, O.D.

  • Optometrist
  • Glastonbury, CT
National Provider Identifier
1689868291
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2701 Issued in CT
Practice address
33 Welles St
Glastonbury, CT 06033-2047
Phone
(860) 633-1401
Fax
(860) 633-1401
NPI assigned
Aug 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2701 CT Primary

Addresses

Primary practice location

33 Welles St
Glastonbury, CT 06033-2047

Mailing address

33 Welles St
Glastonbury, CT 06033-2047
Phone (860) 633-1401

Other identifiers 4

IdentifierTypeStateIssuer
008048421MedicaidCT
11785058OtherCAQH IDN
270100OtherCTCONNECTICARE
090002701CTOtherCTANTHEM BCBS OF CT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081208000013 CT Practitioner - Optometry 9931260171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kelly Family Eyecare LLCGroup PAC ID 1951697598, 3 clinicians

Practice addresses (Care Compare)

458 Talcottville Rd
Suite 1
Vernon, CT 06066-4052
Phone (860) 870-5822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2701CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Family Eyecare, LLC Optometrist CurrentSince Apr 15, 2025 Accepting new patients
Guimond Eyecare LLC Optometrist CurrentSince Mar 11, 2025 Accepting new patients
Your Eyes of New Britain Past Accepting new patients
D&L Eyecare Optometrist PastSince Jul 3, 2022 Accepting new patients

Locations

33 Welles St
Glastonbury, CT 06033
Phone (860) 633-1401

458 Talcottville Rd
Vernon Rockville, CT 06066
Phone (860) 875-4314

458 Talcottville Rd
Ste A
Vernon Rockville, CT 06066

458 Talcottville Rd
Ste 1
Vernon Rockville, CT 06066
Phone 5123086342516

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1689868291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 WELLES ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332047",
            "telephone_number": "860-633-1401",
            "fax_number": "860-432-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WELLES ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332047",
            "telephone_number": "860-633-1401",
            "fax_number": "860-633-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZIK",
        "first_name": "LAUREN",
        "middle_name": "BRIANA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008048421",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH IDN",
            "identifier": "11785058",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "270100",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF CT",
            "identifier": "090002701CT",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.