Connecticut Vision Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CONNECTICUT VISION CARE LLC

Practice address

812 Park Ave
Bloomfield, CT 06002-2417

Phone

(860) 769-2020

NPI assigned

Mar 25, 2016

Organization subpart

No

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

Authorized official

Name

Regan Prudhomme, OD

Title

Optometrist

Phone

(617) 416-9689

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Lynne Miller, L.O.

  • Optician
  • Bloomfield, CT
  • NPI 1184387466
  NPD (past)

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1982066148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 NOTTINGHAM BLVD",
            "city": "UNIONVILLE",
            "state": "CT",
            "postal_code": "060851185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 PARK AVE",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022417",
            "telephone_number": "860-769-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "PRUDHOMME",
        "authorized_official_first_name": "REGAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "617-416-9689",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connecticut Counseling Services
• Connecticut CVS Pharmacy LLC (CVS Pharmacy # 01903)
• Connecticut CVS Pharmacy, L.L.C. (CVS Pharmacy # 01102)
• Connecticut Gi Endoscopy Center LLC
• Connecticut Neurology Consultants PC
• Ayelet Connell - Giammatteo, PT
• Kevin J Connolly, PH.D.
• Natalie M Cooper, APRN
• Joseph Coppa, PT
• Patrick Joseph Corcoran, M.D.

• Optometrist in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.