NPIMap

Organization Active NPI

Fang Vision Care LLC

  • Optometrist
  • Manchester, CT
National Provider Identifier
1972048460
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2864 Issued in CT
Legal business name
FANG VISION CARE LLC
Practice address
420 Buckland Hills Dr
Vision Center
Manchester, CT 06042-8755
Phone
(860) 644-1203
NPI assigned
Dec 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Dr. Xiaomin Fang, O.D.
Title
Owner
Phone
(860) 920-9390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2864 CT Primary

Addresses

Primary practice location

420 Buckland Hills Dr
Vision Center
Manchester, CT 06042-8755

Mailing address

420 Buckland Hills Dr
Vision Center
Manchester, CT 06042-8755
Phone (860) 644-1203

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1972048460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 BUCKLAND HILLS DR",
            "address_2": "VISION CENTER",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060428755",
            "telephone_number": "860-644-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 BUCKLAND HILLS DR",
            "address_2": "VISION CENTER",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060428755",
            "telephone_number": "860-644-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANG VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "FANG",
        "authorized_official_first_name": "XIAOMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-920-9390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.