Greenwich Eye Care Corp
Organization Active NPI Optometrist · Old Greenwich, CT
NPI 1962924936 · NPPES record last updated Aug 2, 2017
Key facts
- NPI
- 1962924936
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 002947 (CT)
- Legal business name
- GREENWICH EYE CARE CORP
- Practice address
- 13 Arcadia Rd Ste 18
Old Greenwich, CT 06870-1742 - Phone
- (203) 698-5049
- Fax
- (844) 364-2562
- NPI assigned
- Jul 12, 2017
- Organization subpart
- No
Authorized official
- Name
- Inna Lazar, OD
- Title
- President
- Phone
- (203) 698-5049
Practitioners 3
-
Inna Lazar, OD
-
Sarah L Lechanski, O.D.
-
Sasha Patel, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171006000317 | CT | Part B Supplier - Clinic/Group Practice | 1850666595 |
Receives reassigned benefits from 3 practitioners Practice locations: Old Greenwich, CT |
National Provider Directory
Locations
13 Arcadia Rd
Old Greenwich, CT 06870
Phone (203) 398-5049
13 Arcadia Rd
Ste 18
Old Greenwich, CT 06870
Phone (203) 698-5049
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 002947 | CT | Yes |
Addresses
Primary practice location
13 Arcadia Rd Ste 18
Old Greenwich, CT 06870-1742
Mailing address
13 Arcadia Rd Ste 18
Old Greenwich, CT 06870-1742
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255713079 | Medicaid | CT |
Other providers in Old Greenwich, CT
- Jennifer Gonzalez
- Lucia Grady
- Gray Matters, Greenwich
- Alexa Greco
- Greenwich Avenue Psychiatry, PC
- Greenwich Pediatric Associates, LLC
- Kimberly Ann Gronski
- Daniel Caleb Guarini
- Cristina Guzman
- Jamie Halcom
All providers in Old Greenwich, CT · Optometrist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.