Connecticut Vision Center, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2426 Issued in CT

Legal business name

CONNECTICUT VISION CENTER, LLC

Practice address

64 Thompson St
Suite B104
East Haven, CT 06513-5707

Phone

(203) 469-1012

Fax

(203) 467-1369

NPI assigned

Sep 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Maria I DiazNPI 1265408371

Title

Owner/Optometrist

Phone

(203) 469-1012

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 7

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

• Maria I Diaz, OD

  • Optometrist
  • East Haven, CT
  • NPI 1265408371
  Medicare reassignment Care Compare group NPD Authorized official
• Karlee Muller, OD

  • Optometrist
  • East Haven, CT
  • NPI 1255838991
  Medicare reassignment Care Compare group NPD
• Audrey S Fung, OD

  • Optometrist
  • Waterbury, CT
  • NPI 1083615850
  Medicare reassignment NPD
• Adam D Ham, O.D.

  • Optometrist
  • Manchester, CT
  • NPI 1669781019
  Medicare reassignment NPD
• Lindsay Lelas

  • Optometrist
  • East Haven, CT
  • NPI 1790531283
  Medicare reassignment NPD
• Kamaljit Singh Westfall, O.D.

  • Optometrist
  • Glens Falls, NY
  • NPI 1376550749
  NPD (past)
• Paul Jerome Westfall, O.D.

  • Optometrist
  • Glens Falls, NY
  • NPI 1831103464
  NPD (past)

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1942459615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 THOMPSON ST STE B104",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065135701",
            "telephone_number": "203-469-1012",
            "fax_number": "203-467-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 THOMPSON ST",
            "address_2": "SUITE B104",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065135707",
            "telephone_number": "203-469-1012",
            "fax_number": "203-467-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT VISION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "203-469-1012",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004173598",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Richard Cifarelli, LAT, ATC
• Donna Lynn Cofrancesco, RDH
• Connecticut CVS Pharmacy, L.L.C.
• Connecticut CVS Pharmacy, L.L.C.
• Connecticut Podiatry Group,P.C.
• Samantha M Cronin, LCSW
• CT Medical Group Inc.
• CT TMJ and Sleep Center LLC
• CT Urgent Care Inc
• Rosa C Cuadrado, LMSW

• Optometrist in East Haven, CT
• Providers in East Haven, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.