NPIMap

Organization Active NPI

Wayne M. Levasseur, O.D.

  • Eyewear Supplier
  • Windsor, CT
National Provider Identifier
1871763144
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
900 Issued in CT
Legal business name
WAYNE M. LEVASSEUR, O.D.
Practice address
186 Broad St
Windsor, CT 06095-2925
Phone
(860) 688-1630
Fax
(860) 687-1324
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Dr. Wayne Michael Levasseur, O.D.
Title
Optometrist
Phone
(860) 688-1630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 900 CT Primary

Addresses

Primary practice location

186 Broad St
Windsor, CT 06095-2925

Mailing address

186 Broad St
Windsor, CT 06095-2925
Phone (860) 688-1630

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": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1871763144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 BROAD ST",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952925",
            "telephone_number": "860-688-1630",
            "fax_number": "860-687-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 BROAD ST",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952925",
            "telephone_number": "860-688-1630",
            "fax_number": "860-687-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE M. LEVASSEUR, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "LEVASSEUR",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "860-688-1630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CT",
            "license": "900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.