Active NPI
Diana Sophia Nychka, O.D.
- Optometrist
- Orange, CT
National Provider Identifier
1972728525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2635
- Practice address
- 93 Boston Post Rd
Orange, CT 06477-3203 - Phone
- (203) 799-3937
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2635 | CT | Primary |
Addresses
Primary practice location
93 Boston Post Rd
Orange, CT 06477-3203
Mailing address
10 Old Field PL
Norwalk, CT 06853-1116
Phone (203) 956-7496
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CT2635 | Other | CT | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennedy & Perkins. Inc. | Past | Accepting new patients | |
| Kennedy & Perkins, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Eyewear Supplier
- Orange, CT
- NPI 1962700039
-
- Eyewear Supplier
- Old Saybrook, CT
- NPI 1578861647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972728525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 OLD FIELD PL",
"city": "NORWALK",
"state": "CT",
"postal_code": "068531116",
"telephone_number": "203-956-7496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 BOSTON POST RD",
"city": "ORANGE",
"state": "CT",
"postal_code": "064773203",
"telephone_number": "203-799-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYCHKA",
"first_name": "DIANA",
"middle_name": "SOPHIA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "2635",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "CT2635",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orange, CT
- Sarah Beatrice Nevolis, DMD
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- Nicholas Calcaterra DDS PC
- Northeast Hearing LLC (Miracle Ear)
- Orange Bra Lady, LLC (Saxon-Kent)
- Orange Children'S Dentistry, LLC
- Orange Internal Medicine, LLC
- Orange Markets LLC (Shoprite Pharmacy)
- Orange Pharmacy LLC (CLRx Pharmacy Orange)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.