NPIMap

Organization Active NPI

Institute for Integrated Vision, LLC

  • Vision Therapy Optometrist
  • Stamford, CT
National Provider Identifier
1982104535
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
2299 Issued in CT
Legal business name
INSTITUTE FOR INTEGRATED VISION, LLC
Practice address
1425 Bedford St Ste 1M
Stamford, CT 06905-5203
Phone
(203) 357-0204
Fax
(203) 348-0230
NPI assigned
Feb 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Authorized official

Name
Dr. Randy Schulman, ODNPI 1326265562
Title
Owner
Phone
(203) 357-0204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WV0400X 2299 CT Primary

Addresses

Primary practice location

1425 Bedford St Ste 1M
Stamford, CT 06905-5203

Mailing address

1425 Bedford St Ste 1M
Stamford, CT 06905-5203
Phone (203) 357-0204

Other identifiers 4

IdentifierTypeStateIssuer
1144750035MedicaidCT
1316469133MedicaidCT
1144293317MedicaidCT
1326265562MedicaidCT

National Provider Directory

National Provider Directory

Locations

1425 Bedford St
Ste 1M
Stamford, CT 06905
Phone (203) 357-0204

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1982104535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 BEDFORD ST STE 1M",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055203",
            "telephone_number": "203-357-0204",
            "fax_number": "203-348-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 BEDFORD ST STE 1M",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055203",
            "telephone_number": "203-357-0204",
            "fax_number": "203-348-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR INTEGRATED VISION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "SCHULMAN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-357-0204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "CT",
            "license": "2299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144750035",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316469133",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144293317",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326265562",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.