Organization Active NPI

Modern Eyecare LLC

  • Optometrist
  • Norwalk, CT
National Provider Identifier
1740955046
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MODERN EYECARE LLC
Practice address
100 N Water St Ste 2825
Norwalk, CT 06854-5232
Phone
(203) 523-7204
NPI assigned
Aug 10, 2021
Last updated
Aug 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Authorized official

Name
Sadia Rabael Bhatti, OD
Title
Optometrist/Owner
Phone
(203) 523-7204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

100 N Water St Ste 2825
Norwalk, CT 06854-5232

Mailing address

100 N Water St Ste 2825
Norwalk, CT 06854-5232
Phone (203) 523-7204

National Provider Directory

National Provider Directory

Locations

301 E State Route 613
Continental, OH 45831
Phone (419) 596-3062

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": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1740955046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N WATER ST STE 2825",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068545232",
            "telephone_number": "203-523-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N WATER ST STE 2825",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068545232",
            "telephone_number": "203-523-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "BHATTI",
        "authorized_official_first_name": "SADIA",
        "authorized_official_middle_name": "RABAEL",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "203-523-7204",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.