Totalvision Eyecare Center Of Glastonbury,llc
Optometrist in Glastonbury, CT. Organization (NPI-2).
NPI number1790739233
StatusActive
Last updated in NPPESMay 13, 2014
Details
- NPI
- 1790739233
- Entity type
- Organization (NPI-2)
- Legal business name
- Totalvision Eyecare Center Of Glastonbury,llc
- Organization subpart
- No
- Enumeration date
- May 20, 2006
- Last updated
- May 13, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 0969 | CT | Yes |
| 152W00000X | Optometrist | 2023 | CT | |
| 152W00000X | Optometrist | 969 | CT |
Practice location
63 Hebron AvenueGlastonbury, CT 06033-2078
Phone 860-659-5900 · Fax 860-659-9900
Mailing address
63 Hebron AvenueGlastonbury, CT 06033-2078
Phone 860-659-5900 · Fax 860-659-9900
Authorized official
Barbara Dagney
Practice Manager
8606595900
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