Organization Active NPI

Town Line Eye Care, LLC

Doing business as King Family Eye Care, LLC

  • Optometrist
  • Rocky Hill, CT
National Provider Identifier
1912679275
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TOWN LINE EYE CARE, LLC
Doing business as
King Family Eye Care, LLC
Practice address
80 Town Line Road
C/O Lenscrafters
Rocky Hill, CT 06067
Phone
(860) 258-2380
NPI assigned
Oct 4, 2021
Last updated
Oct 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Authorized official

Name
Dr. Matthew King, ODNPI 1093733347
Title
Optometrist
Phone
(860) 271-6502

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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

80 Town Line Road
C/O Lenscrafters
Rocky Hill, CT 06067

Mailing address

80 Town Line Road
C/O Lenscrafters
Rocky Hill, CT 06067
Phone (860) 258-2380

Other names 1

  • King Family Eye Care, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL fax Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220110001928 CT Part B Supplier - Clinic/Group Practice 5193117851 Receives reassigned benefits from 4 practitioners
Practice locations: Rocky Hill, CT

National Provider Directory

National Provider Directory

Locations

80 Town Line Rd
Ste 17
Rocky Hill, CT 06067
Phone (860) 563-4868

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1912679275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 TOWN LINE ROAD",
            "address_2": "C/O LENSCRAFTERS",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "06067",
            "telephone_number": "860-258-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 TOWN LINE ROAD",
            "address_2": "C/O LENSCRAFTERS",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "06067",
            "telephone_number": "860-258-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN LINE EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "860-271-6502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "fax",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "fax",
            "address_1": "80 Town Line Road",
            "address_2": "C/O Lenscrafters",
            "city": "Rocky Hill",
            "state": "CT",
            "country_code": "US",
            "postal_code": "06067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "King Family Eye Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocky Hill, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.