Active NPI
Inclima Eye Care, LLC
- Optometrist
- West Haven, CT
National Provider Identifier
1821166703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 620
- Legal business name
- INCLIMA EYE CARE, LLC
- Practice address
- 415 Main St
West Haven, CT 06516-4296 - Phone
- (203) 934-5126
- Fax
- (203) 932-2020
- NPI assigned
- Dec 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christopher M Inclima, O.D.
- Title
- Member
- Phone
- (203) 934-5126
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 620 | CT | Primary |
Addresses
Primary practice location
415 Main St
West Haven, CT 06516-4296
Mailing address
415 Main St
West Haven, CT 06516-4296
Phone (203) 934-5126
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004397081 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D2074071 | Inclima Eye Care, LLC | Certificate of waiver | Feb 28, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- West Haven, CT
- NPI 1063474575
-
- Optometrist
- West Haven, CT
- NPI 1740241751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279065600000",
"number": "1821166703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 MAIN ST",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065164296",
"telephone_number": "203-934-5126",
"fax_number": "203-932-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 MAIN ST",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065164296",
"telephone_number": "203-934-5126",
"fax_number": "203-932-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INCLIMA EYE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2010-07-14",
"status": "A",
"authorized_official_last_name": "INCLIMA",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "203-934-5126",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CT",
"license": "620",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004397081",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.