NPIMap

Organization Active NPI

Totalvision Eyecare Center of Glastonbury,LLC

  • Optometrist
  • Glastonbury, CT
National Provider Identifier
1790739233
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0969 Issued in CT
Legal business name
TOTALVISION EYECARE CENTER OF GLASTONBURY,LLC
Practice address
63 Hebron Avenue
Glastonbury, CT 06033-2078
Phone
(860) 659-5900
Fax
(860) 659-9900
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Authorized official

Name
Barbara Dagney
Title
Practice Manager
Phone
(860) 659-5900

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 2023 CT
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 969 CT
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 0969 CT Primary

Addresses

Primary practice location

63 Hebron Avenue
Glastonbury, CT 06033-2078

Mailing address

63 Hebron Avenue
Glastonbury, CT 06033-2078
Phone (860) 659-5900

National Provider Directory

National Provider Directory

Locations

63 Hebron Ave
Glastonbury, CT 06033
Phone (860) 659-5900

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1790739233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 HEBRON AVENUE",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332078",
            "telephone_number": "860-659-5900",
            "fax_number": "860-659-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 HEBRON AVENUE",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332078",
            "telephone_number": "860-659-5900",
            "fax_number": "860-659-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTALVISION EYECARE CENTER OF GLASTONBURY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "DAGNEY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "860-659-5900"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2023",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "969",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "0969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.