Organization Active NPI

Loveland Eyecare, LLC

  • Optometrist
  • Cromwell, CT
National Provider Identifier
1952353989
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002273 Issued in CT
Legal business name
LOVELAND EYECARE, LLC
Practice address
28 Shunpike Rd
Suite 2
Cromwell, CT 06416-2454
Phone
(860) 635-3300
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Dr. Nancy P. Loveland, O.D.NPI 1770532392
Title
Optometrist
Phone
(860) 635-3300

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 002273 CT Primary

Addresses

Primary practice location

28 Shunpike Rd
Suite 2
Cromwell, CT 06416-2454

Mailing address

6 Scott LN
Cromwell, CT 06416-1235
Phone (860) 632-8270

Other identifiers 1

IdentifierTypeStateIssuer
004118023MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131224000225 CT Part B Supplier - Clinic/Group Practice 5193952927 Receives reassigned benefits from 3 practitioners
Practice locations: Cromwell, CT

National Provider Directory

National Provider Directory

Locations

28 Shunpike Rd
Ste 2
Cromwell, CT 06416
Phone (860) 635-3300

Practitioners & affiliated clinicians

Practitioners 4

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1952353989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SCOTT LN",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064161235",
            "telephone_number": "860-632-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 SHUNPIKE RD",
            "address_2": "SUITE 2",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162454",
            "telephone_number": "860-635-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVELAND EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "LOVELAND",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "860-635-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004118023",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cromwell, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.