Gold Coast Eye Associates, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2904 Issued in CT

Legal business name

GOLD COAST EYE ASSOCIATES, LLC

Practice address

5065 Main St
Suite 1140
Trumbull, CT 06611-4204

Phone

(203) 374-3211

NPI assigned

Nov 2, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Brian H Wolanin, O.D.NPI 1619318367

Title

Member

Phone

(614) 381-1331

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Henry Wolanin, O.D.

  • Optometrist
  • Trumbull, CT
  • NPI 1619318367
  Medicare reassignment Care Compare group NPD Authorized official
• Jason Rutherford, O.D.

  • Optometrist
  • Darien, CT
  • NPI 1891109021
  Medicare reassignment Care Compare group NPD
• Richard Paul Squires, OD

  • Optometrist
  • Greenwich, CT
  • NPI 1710661806
  Medicare reassignment NPD

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1891124616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5065 MAIN ST",
            "address_2": "SUITE 1140",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114204",
            "telephone_number": "203-374-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5065 MAIN ST",
            "address_2": "SUITE 1140",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114204",
            "telephone_number": "203-374-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD COAST EYE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "WOLANIN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "614-381-1331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher M. Giunta, DPT
• Summer Gladney, OTD, OTR/L
• Geoffrey S. Gladstein, M.D.
• Nicole Mary Gohil, LPC
• Elika Golara, D.M.D.
• Benjamin Michael Gold, M.D.
• Erica Lynn Goldstein
• Leslie Goldstone-Orly, MD
• Samantha Gontarz
• Mia Gonzalez

• Optometrist in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.