DR. XIAOMIN FANG (NPI# 1265783047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265783047 |
| Entity Type | Individual |
| Full Name | DR. XIAOMIN FANG |
| Credential | O.D. |
| Practice Address |
180 River Rd Wal-mart Vision Center Lisbon CT 06351-3249 |
| Mailing Address |
200 Regan Rd Apt. 26c Vernon CT 06066-2850 |
| Practice Telephone | 7813302605 |
| Mailing Telephone | 7813302605 |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2864 | CT | Eye and Vision Services Providers |
| Street Address |
180 RIVER RD WAL-MART VISION CENTER |
| City | LISBON |
| State | CT |
| Zip Code | 06351-3249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518984806 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 180 River Rd, Lisbon, CT 06351-3249 | 2006-07-16 |
| 1518471143 | Rebecca L Szura | Pharmacist | 180 River Rd, Lisbon, CT 06351-3249 | 2017-11-17 |
| 1801309935 | Thomas Edward Burke | Pharmacist | 180 River Rd, Lisbon, CT 06351-3249 | 2017-11-11 |
| 1376055434 | Eric Hume | Pharmacist | 180 River Rd, Lisbon, CT 06351-3249 | 2017-10-30 |
| 1801256805 | John Daoust | Technician/Technologist | 180 River Rd, Lisbon, CT 06351-3249 | 2016-03-03 |
| 1144680158 | Elda Cone | Technician/Technologist | 180 River Rd, Lisbon, CT 06351-3249 | 2016-03-03 |
| 1558786582 | Insight Enterprises | Optometrist | 180 River Rd, Lisbon, CT 06351-3249 | 2014-02-27 |
| 1124183660 | Jason Edward Cavanaugh | Optometrist | 180 River Rd, Lisbon, CT 06351 | 2006-12-26 |
| 1295824258 | Wal-mart Stores East, Lp | Technician/Technologist | 180 River Rd, Lisbon, CT 06351-3254 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659617058 | Erin Haggan | Social Worker | 55 Dina Ln, Griswold, CT 06351 | 2012-12-13 |
| 1750554788 | Lisbon Central School | Local Education Agency (LEA) | 15 Newent Road, Lisbon, CT 06351 | 2008-04-10 |
| 1699953729 | Joel Zuckerbraun Odpl | Optometrist | 8 North Main Street, Jewett City, CT 06351 | 2008-01-31 |
| 1275542219 | Eastern Connecticut Rehabilitation Centers | Clinic/Center | 2 B Lee Road, Lisbon, CT 06351 | 2006-08-07 |
| 1841260106 | Sasha B Campbell | Physical Therapist | 2b Lee Road, Lisbon, CT 06351 | 2006-01-26 |
| 1316296502 | Kelsey Lyn Joslyn | Counselor | 226 E Main St, Griswold, CT 06351 | 2012-09-04 |
| 1952310955 | Penny Anne Allyn | Physical Therapist | 2b Lee Road, Lisbon, CT 06351 | 2006-08-07 |
| 1578572574 | Audrey Jo Traylor | Physical Therapist | 2b Lee Road, Lisbon, CT 06351 | 2006-08-07 |
| 1265434583 | Mark David Deponte | Family Medicine | 2 Lee Rd, Lisbon, CT 06351 | 2005-06-01 |
| 1700888021 | Cynthia Booth Lord | Physician Assistant | 2 Lee Rd, Lisbon, CT 06351 | 2005-06-01 |
| Find all providers in zip 06351 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306405089 | David Gandelman | Optometrist | 41 Premier Dr Apt 210, Lisbon, ME 04250-6086 | 2019-06-06 |
| 1760556823 | Tom Alan Scullion | Optometrist | 201 W Lincoln Way, Lisbon, OH 44432-1103 | 2006-11-20 |
| 1992775944 | Corey Ray Mairs | Optometrist | 17 11th Avenue West, Lisbon, ND 58054-0916 | 2006-01-24 |
| 1720606742 | Ryan W Eisel | Optometrist | 201 W Lincoln Way, Lisbon, OH 44432-1103 | 2020-07-07 |
| 1558786582 | Insight Enterprises | Optometrist | 180 River Rd, Lisbon, CT 06351-3249 | 2014-02-27 |
| 1124183660 | Jason Edward Cavanaugh | Optometrist | 180 River Rd, Lisbon, CT 06351 | 2006-12-26 |
| 1275608036 | Lynn Blair Scullion | Optometrist | 201 W Lincoln Way, Lisbon, OH 44432-1103 | 2006-11-21 |
| 1407896673 | Lisbon Vision Center, P.C. | Optometrist | 17 11th Avenue West, Lisbon, ND 58054-0916 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638463 | Troy Sanfilippo | Optometrist | 286 Laurelwood Dr, Salem, CT 06420-3937 | 2020-10-27 |
| 1205434347 | Mvca | Optometrist | Navy Submarine Base New London, Bldg 484, Groton, CT 06349 | 2020-10-12 |
| 1588279590 | Eyes On Nigrelli, LLC | Optometrist | 18 Pennsylvania Ave, Niantic, CT 06357-3231 | 2020-09-15 |
| 1558973289 | Solinsky Eyecare LLC | Optometrist | 55 Nye Rd Ste 104, Glastonbury, CT 06033-1281 | 2020-08-24 |
| 1528670783 | Irene Elaine Antar | Optometrist | 152 Merrow Rd #23c, Tolland, CT 06084 | 2020-08-19 |
| 1750991345 | Connecticut Children's Eye Care, P.C. | Optometrist | 599 Farmington Ave Ste 201, Farmington, CT 06032-2356 | 2020-08-07 |
| 1013525302 | Eyeconic Vision Care LLC | Optometrist | 500 Andrews Way Apt 102, South Windsor, CT 06074-9601 | 2020-07-22 |
| 1295351104 | Victor Paul | Optometrist | 1920 Norwich New London Tpke, Uncasville, CT 06382-1384 | 2020-06-17 |
| 1700410727 | Optimized Vision & Eye Care LLC | Optometrist | 20 Division St, Derby, CT 06418-1430 | 2020-02-28 |
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.