Organization Active NPI

Seymour Optometric Center, LLC

  • Optometrist
  • Seymour, CT
National Provider Identifier
1942487327
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SEYMOUR OPTOMETRIC CENTER, LLC
Practice address
25 New Haven Rd
Seymour, CT 06483-3405
Phone
(203) 888-9532
NPI assigned
Jan 28, 2008
Last updated
May 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Authorized official

Name
George Zois Tzepos, ODNPI 1285621946
Title
Owner
Phone
(203) 888-9532

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

25 New Haven Rd
Seymour, CT 06483-3405

Mailing address

25 New Haven Rd
Seymour, CT 06483-3405
Phone (203) 888-9532

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180430000090 CT Part B Supplier - Clinic/Group Practice 9335403377 Receives reassigned benefits from 2 practitioners
Practice locations: Seymour, CT

National Provider Directory

National Provider Directory

Locations

25 New Haven Rd
Seymour, CT 06483
Phone (203) 888-9532

Practitioners & affiliated clinicians

Practitioners 3

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": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1942487327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NEW HAVEN RD",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064833405",
            "telephone_number": "203-888-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NEW HAVEN RD",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064833405",
            "telephone_number": "203-888-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEYMOUR OPTOMETRIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "TZEPOS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ZOIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-888-9532",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.