Taryn Denise Gonthier, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3288 Issued in CT

Practice address

194 Buckland Hills Dr
Manchester, CT 06042-8705

Phone

(860) 644-3364

NPI assigned

Apr 24, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Taryn Denise Weaver Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Prudhomme Vision LLC

  • Optometrist
  • Manchester, CT
  • NPI 1649504432
  NPD (past)

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

{
    "created_epoch": "1650758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1902540107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MEADOWCREST DR",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187089481",
            "telephone_number": "570-574-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 BUCKLAND HILLS DR",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060428705",
            "telephone_number": "860-644-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONTHIER",
        "first_name": "TARYN",
        "middle_name": "DENISE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-24",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARYN",
            "last_name": "WEAVER",
            "middle_name": "DENISE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Scott I Goldsmith, M.S., LPC
• David Goldwerd, M.H.C.
• Amanda Helton Gomes
• Chike E Gomez
• Eny E Gomez
• Carmen G Gonzales
• Eloise Maria Gonzales, APRN
• Melanie Gonzalez-Airas
• Carlos Alfonso Gonzalez, M.D.
• Carolina Gonzalez, ND

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.