Individual provider Active NPI

William V Padula, OD

  • Low Vision Rehabilitation Optometrist
  • Guilford, CT
National Provider Identifier
1881770477
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
858 Issued in CT
Practice address
37 Soundview Rd
Guilford, CT 06437
Phone
(203) 453-2222
Fax
(203) 458-3463
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Vision Optometrist 152WS0006X 000858 CT
Vision Therapy Optometrist 152WV0400X 000858 CT
Low Vision Rehabilitation Optometrist 152WL0500X 858 CT Primary
Pediatric Optometrist 152WP0200X 000858 CT

Addresses

Primary practice location

37 Soundview Rd
Guilford, CT 06437

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
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110127000866 CT Practitioner - Optometry 2466631098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1976
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000858CTMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Padula Family Vision & Sports Enhancement Center, LLC Sports Vision Current Accepting new patients
Padula Institute of Vision Rehabilitation, LLC Low Vision Rehabilitation CurrentSince Oct 10, 1986 Accepting new patients
Gaylord Hospital, Inc. Past Accepting new patients

Locations

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1881770477",
    "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": "06437",
            "telephone_number": "203-453-2222",
            "fax_number": "203-458-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADULA",
        "first_name": "WILLIAM",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "CT",
            "license": "000858",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CT",
            "license": "000858",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CT",
            "license": "858",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CT",
            "license": "000858",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

Verify at the official NPI Registry.