Organization Active NPI

Optimized Vision & Eye Care LLC

  • Optometrist
  • North Haven, CT
National Provider Identifier
1700410727
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OPTIMIZED VISION & EYE CARE LLC
Practice address
555 Universal Dr N
North Haven, CT 06473-3142
Phone
(203) 503-8832
Fax
(833) 929-2456
NPI assigned
Feb 28, 2020
Last updated
Feb 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Xiuyang Guo, ODNPI 1285145508
Title
Doctor/Owner
Phone
(203) 503-8832

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

555 Universal Dr N
North Haven, CT 06473-3142

Mailing address

23 Old Farm Rd
Woodbridge, CT 06525-2400
Phone (203) 503-8832

Other practice location 1

20 Division St
Derby, CT 06418-1430
Phone (203) 503-8832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200521000206 CT Part B Supplier - Clinic/Group Practice 2961833231 Receives reassigned benefits from 1 practitioner
Practice locations: Derby, CT; North Haven, CT; Orange, CT

National Provider Directory

National Provider Directory

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": "1582848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1700410727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 OLD FARM RD",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252400",
            "telephone_number": "203-503-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 UNIVERSAL DR N",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733142",
            "telephone_number": "203-503-8832",
            "fax_number": "833-929-2456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Division St",
            "address_purpose": "LOCATION",
            "city": "Derby",
            "state": "CT",
            "postal_code": "064181430",
            "country_code": "US",
            "telephone_number": "203-503-8832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTIMIZED VISION & EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-28",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "GUO",
        "authorized_official_first_name": "XIUYANG",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "203-503-8832",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.