HL Eyecare LLC – Optometrist in Bantam, CT

Key facts

NPI: 1740013630
Entity type: Organization (NPI type 2)
Primary specialty: Optometrist 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
Organization subpart: No

Authorized official

Name: Tabitha Plunske, OD NPI 1780311514
Title: Optometrist
Phone: (860) 880-2020

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

Practitioners 2

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

Tabitha Plunske, OD Optometrist · Bantam, CT · NPI 1780311514

Medicare reassignment NPD Authorized official CT · OPTOMETRIST
Tommasina Pasqua Sideris, OD Optometrist · Litchfield, CT · NPI 1942297312

NPD (past) OPTOMETRIST

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CT

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20250410000166	CT	Part B Supplier - Clinic/Group Practice	2466976519	Receives reassigned benefits from 1 practitioner Practice locations: Bantam, CT

National Provider Directory

Locations

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

17C Commons Dr
Litchfield, CT 06759
Phone (860) 567-7787

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Optometrist Group: 193400000X SINGLE SPECIALTY GROUP	152W00000X			Yes

Addresses

Primary practice location

710 Bantam Rd Unit C
Bantam, CT 06750-1603

Mailing address

710 Bantam Rd Unit C
Bantam, CT 06750-1603

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 31, 2024.

{
    "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bantam, CT

All providers in Bantam, CT · Optometrist in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.