Organization Active NPI

Vision Center

  • Optician
  • Branford, CT
National Provider Identifier
1952526147
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
LO642 Issued in CT
Legal business name
VISION CENTER
Practice address
845 W Main St
Branford, CT 06405-3413
Phone
(203) 488-2082
NPI assigned
Apr 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David P. Wojcik, LO
Title
Owner
Phone
(203) 488-2082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X LO642 CT Primary

Addresses

Primary practice location

845 W Main St
Branford, CT 06405-3413

Mailing address

845 W Main St
Branford, CT 06405-3413
Phone (203) 488-2082

Other identifiers 2

IdentifierTypeStateIssuer
100000642CT03OtherCTANTHEM BCBS
OP1028OtherCTEYE MED

National Provider Directory

National Provider Directory

Locations

845 W Main St
Branford, CT 06405
Phone (203) 488-2082

NPI Registry JSON

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

{
    "created_epoch": "1176595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952526147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 W MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053413",
            "telephone_number": "203-488-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 W MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053413",
            "telephone_number": "203-488-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOJCIK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-488-2082",
        "authorized_official_credential": "LO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "LO642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "100000642CT03",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED",
            "identifier": "OP1028",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.