Organization Active NPI

Kent Eyecare, LLC

  • Optometrist
  • Kent, CT
National Provider Identifier
1972731099
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002586 Issued in CT
Legal business name
KENT EYECARE, LLC
Practice address
5 Kent Green Blvd
Kent, CT 06757-0307
Phone
(860) 927-1600
Fax
(914) 730-9290
NPI assigned
Jun 26, 2009
Last updated
Nov 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Authorized official

Name
Dr. Leslie Allyson Garrod, O.D.
Title
Optometrist
Phone
(860) 927-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002586 CT Primary

Addresses

Primary practice location

5 Kent Green Blvd
Kent, CT 06757-0307

Mailing address

PO Box 370
Kent, CT 06757-0370
Phone (860) 927-1600

National Provider Directory

National Provider Directory

Locations

5 Kent GRN Blvd
Kent, CT 06757
Phone (860) 489-2781

5 Kent GRN Blvd
Kent, CT 06757
Phone (860) 927-1600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1972731099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "KENT",
            "state": "CT",
            "postal_code": "067570370",
            "telephone_number": "860-927-1600",
            "fax_number": "914-730-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 KENT GREEN BLVD",
            "city": "KENT",
            "state": "CT",
            "postal_code": "067570307",
            "telephone_number": "860-927-1600",
            "fax_number": "914-730-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "GARROD",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ALLYSON",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "860-927-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.