Organization Active NPI

TLC Eye Care, LLC

  • Optometrist
  • Wallingford, CT
National Provider Identifier
1942457320
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TLC EYE CARE, LLC
Practice address
930 N Colony Rd
Suite I
Wallingford, CT 06492-2471
Phone
(203) 265-4362
Fax
(203) 265-0415
NPI assigned
Aug 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Dr. Linda Caliolo, O.D.NPI 1164567921
Title
Owner/Optometrist
Phone
(203) 265-4362

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

930 N Colony Rd
Suite I
Wallingford, CT 06492-2471

Mailing address

930 N Colony Rd
Suite I
Wallingford, CT 06492-2471
Phone (203) 265-4362

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081105000798 CT Part B Supplier - Clinic/Group Practice 6103985114 Receives reassigned benefits from 2 practitioners
Practice locations: Wallingford, CT

National Provider Directory

National Provider Directory

Locations

930 N Colony Rd
Ste I
Wallingford, CT 06492
Phone (203) 265-4362

Practitioners & affiliated clinicians

Practitioners 2

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": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1942457320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 N COLONY RD",
            "address_2": "SUITE I",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922471",
            "telephone_number": "203-265-4362",
            "fax_number": "203-265-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N COLONY RD",
            "address_2": "SUITE I",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922471",
            "telephone_number": "203-265-4362",
            "fax_number": "203-265-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "CALIOLO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "203-265-4362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.