Organization Active NPI

HL Eyecare LLC

  • Optometrist
  • Bantam, CT
National Provider Identifier
1740013630
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HL EYECARE LLC
Practice address
710 Bantam Rd Unit C
Bantam, CT 06750-1603
Phone
(860) 880-2020
NPI assigned
Aug 26, 2024
Last updated
Oct 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Tabitha Plunske, ODNPI 1780311514
Title
Optometrist
Phone
(860) 880-2020

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 Primary

Addresses

Primary practice location

710 Bantam Rd Unit C
Bantam, CT 06750-1603

Mailing address

710 Bantam Rd Unit C
Bantam, CT 06750-1603

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250410000166 CT Part B Supplier - Clinic/Group Practice 2466976519 Receives reassigned benefits from 1 practitioner
Practice locations: Bantam, CT

National Provider Directory

National Provider Directory

Locations

710 Bantam Rd
Unit C
Bantam, CT 06750
Phone (860) 880-2020

Practitioners & affiliated clinicians

Practitioners 2

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": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1740013630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 BANTAM RD UNIT C",
            "city": "BANTAM",
            "state": "CT",
            "postal_code": "067501603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 BANTAM RD UNIT C",
            "city": "BANTAM",
            "state": "CT",
            "postal_code": "067501603",
            "telephone_number": "860-880-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HL EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "PLUNSKE",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "860-880-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bantam, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.