NPIMap

Organization Active NPI

Padula Institute of Vision Rehabilitation, LLC

  • Low Vision Rehabilitation Optometrist
  • Guilford, CT
National Provider Identifier
1871783076
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
000858 Issued in CT
Legal business name
PADULA INSTITUTE OF VISION REHABILITATION, LLC
Practice address
37 Soundview Rd
Guilford, CT 06437-2916
Phone
(203) 453-2222
Fax
(203) 458-3463
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Authorized official

Name
Dr. William V Padula, ODNPI 1881770477
Title
Owner
Phone
(203) 453-2222

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
Low Vision Rehabilitation OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WL0500X 000858 CT Primary

Addresses

Primary practice location

37 Soundview Rd
Guilford, CT 06437-2916

Mailing address

37 Soundview Rd
Guilford, CT 06437-2916
Phone (203) 453-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110127000836 CT Part B Supplier - Clinic/Group Practice 1557540184 Receives reassigned benefits from 1 practitioner
Practice locations: Guilford, CT

National Provider Directory

National Provider Directory

Locations

37 Soundview Rd
Guilford, CT 06437
Phone (203) 284-2818

Practitioners & affiliated clinicians

Practitioners 4

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": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1871783076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 SOUNDVIEW RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372916",
            "telephone_number": "203-453-2222",
            "fax_number": "203-458-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 SOUNDVIEW RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372916",
            "telephone_number": "203-453-2222",
            "fax_number": "203-458-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADULA INSTITUTE OF VISION REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "PADULA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-453-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CT",
            "license": "000858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.