Organization Active NPI

Groton Eye Center, LLC.

  • Optometrist
  • Groton, CT
National Provider Identifier
1952594764
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CT001035 Issued in CT
Legal business name
GROTON EYE CENTER, LLC.
Practice address
456 Long Hill Rd
Groton, CT 06340-4107
Phone
(860) 445-1000
Fax
(860) 445-4991
NPI assigned
Aug 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Authorized official

Name
Dr. George Dennis Adrian, OD
Title
Owner
Phone
(860) 445-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X CT001035 CT Primary

Addresses

Primary practice location

456 Long Hill Rd
Groton, CT 06340-4107

Mailing address

456 Long Hill Rd
Groton, CT 06340-4107
Phone (860) 445-1000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1952594764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 LONG HILL RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404107",
            "telephone_number": "860-445-1000",
            "fax_number": "860-445-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 LONG HILL RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404107",
            "telephone_number": "860-445-1000",
            "fax_number": "860-445-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROTON EYE CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "ADRIAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-445-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "CT001035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.