The Eye Care Group, PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

001664 Issued in CT

Legal business name

THE EYE CARE GROUP, PC

Practice address

22 Old Waterbury Rd
Suite 202
Southbury, CT 06488-3848

Phone

(203) 262-1600

Fax

(203) 401-6517

NPI assigned

Nov 8, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Cheryl Dulina

Title

Credentialing Coordinator

Phone

(203) 573-4803

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495584000000",
    "number": "1780013854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W MAIN ST",
            "address_2": "SUITE 200",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083105",
            "telephone_number": "203-573-4885",
            "fax_number": "203-401-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 OLD WATERBURY RD",
            "address_2": "SUITE 202",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064883848",
            "telephone_number": "203-262-1600",
            "fax_number": "203-401-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE CARE GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2017-05-24",
        "status": "A",
        "authorized_official_last_name": "DULINA",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "203-573-4803",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CT",
            "license": "001664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC",
            "identifier": "0352650003",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Southbury, CT
• Providers in Southbury, CT by specialty
• Eyewear Supplier in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; 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.