Organization Active NPI

VC Wilton LLC

  • Optometrist
  • Wilton, CT
National Provider Identifier
1861089708
Registry record updated Feb 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VC WILTON LLC
Doing business as
Vision Consultants of Wilton
Practice address
115 Old Ridgefield Rd Ste 101B
Wilton, CT 06897-3019
Phone
(203) 834-0860
Fax
(203) 762-3876
NPI assigned
Dec 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2021

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

Authorized official

Name
Dr. Jean-Marc Alling, ODNPI 1366641680
Title
Optometrist
Phone
(203) 834-0860

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

115 Old Ridgefield Rd Ste 101B
Wilton, CT 06897-3019

Mailing address

602 Carter St
New Canaan, CT 06840-5021
Phone (718) 986-8495

Other names 1

  • Vision Consultants of Wilton Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210405001835 CT Part B Supplier - Clinic/Group Practice 2062829286 Receives reassigned benefits from 1 practitioner
Practice locations: Wilton, CT

National Provider Directory

National Provider Directory

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": "1609027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613260800000",
    "number": "1861089708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 CARTER ST",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068405021",
            "telephone_number": "718-986-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 OLD RIDGEFIELD RD STE 101B",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068973019",
            "telephone_number": "203-834-0860",
            "fax_number": "203-762-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VC WILTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-27",
        "last_updated": "2021-02-14",
        "certification_date": "2021-02-14",
        "status": "A",
        "authorized_official_last_name": "ALLING",
        "authorized_official_first_name": "JEAN-MARC",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "203-834-0860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Consultants of Wilton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2021; 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.

Verify at the official NPI Registry.