NPIMap

Organization Active NPI

Philip M Perrino P.C.

Doing business as royal vision associates or durham family eye care

  • Optometrist
  • New Haven, CT
National Provider Identifier
1982734653
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002286 Issued in CT
Legal business name
PHILIP M PERRINO P.C.
Doing business as
royal vision associates or durham family eye care
Practice address
815 Chapel St
New Haven, CT 06510-3001
Phone
(203) 865-6727
Fax
(203) 865-8040
NPI assigned
Mar 6, 2007
Last updated
Mar 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Authorized official

Name
Philip M Perrino, O.D.NPI 1639191588
Title
Owner
Phone
(203) 865-6727

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
Optometrist 152W00000X 002286 CT Primary

Addresses

Primary practice location

815 Chapel St
New Haven, CT 06510-3001

Mailing address

815 Chapel St
New Haven, CT 06510-3001
Phone (203) 865-6727

Other identifiers 8

IdentifierTypeStateIssuer
004149721MedicaidCT
910087OtherCTBLOCK VISION
P1003065OtherCTOXFORD
183826OtherCTWELLCARE
090002286CT06OtherCTBLUE CROSS BLUE SHIELD
09878OtherCTSPECTERA
115060OtherCTEYEMED
OV5752OtherCTHEALTHNET

Other names 1

  • royal vision associates or durham family eye care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080218000183 CT Part B Supplier - Clinic/Group Practice 8022191808 Receives reassigned benefits from 4 practitioners
Practice locations: Durham, CT

National Provider Directory

National Provider Directory

Locations

815 Chapel St
New Haven, CT 06510
Phone (203) 644-0038

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1982734653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 CHAPEL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103001",
            "telephone_number": "203-865-6727",
            "fax_number": "203-865-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 CHAPEL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103001",
            "telephone_number": "203-865-6727",
            "fax_number": "203-865-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP M PERRINO P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "PERRINO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-865-6727",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004149721",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "910087",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1003065",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "183826",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "090002286CT06",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "09878",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "115060",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "OV5752",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "royal vision associates or durham family eye care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.