Active NPI
Family Optometric Care PC
- Optometrist
- Bloomfield, CT
National Provider Identifier
1780656579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- FAMILY OPTOMETRIC CARE PC
- Practice address
- 38 Tunxis Ave
Suite 1
Bloomfield, CT 06002-2034 - Phone
- (860) 243-2508
- NPI assigned
- Feb 6, 2006
- Organization subpart
- Yes
- Parent organization
- FAMILY OPTOMETRIC CARE PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bradford Alan Newman, O.D.
- Title
- President
- Phone
- (860) 243-2508
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | CT | Primary |
Addresses
Primary practice location
38 Tunxis Ave
Suite 1
Bloomfield, CT 06002-2034
Mailing address
38 Tunxis Ave
Suite 1
Bloomfield, CT 06002-2034
Phone (860) 243-2508
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004163036 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Family Optometric Care
Locations
41 Wintonbury Mall
Bloomfield, CT 06002
Phone (860) 243-2508
38 Tunxis Ave
Ste 1
Bloomfield, CT 06002
Phone (860) 243-2508
1061 Silas Deane Hwy
#I
Wethersfield, CT 06109
Phone (860) 563-8207
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Bloomfield, CT
- NPI 1780657213
-
- Optometrist
- Bloomfield, CT
- NPI 1326148792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666656000000",
"number": "1780656579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 TUNXIS AVE",
"address_2": "SUITE 1",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060022034",
"telephone_number": "860-243-2508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 TUNXIS AVE",
"address_2": "SUITE 1",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060022034",
"telephone_number": "860-243-2508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY OPTOMETRIC CARE PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FAMILY OPTOMETRIC CARE PC",
"enumeration_date": "2006-02-06",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A",
"authorized_official_last_name": "NEWMAN",
"authorized_official_first_name": "BRADFORD",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "860-243-2508",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004163036",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.