GREEN VALLEY OPTICAL, LLC (NPI# 1376007419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376007419 |
| Entity Type | Organization |
| Organization Name | GREEN VALLEY OPTICAL, LLC |
| Practice Address |
21 Putnam Pike Dayville CT 06241 |
| Mailing Address |
Po Box 728 Dayville CT 06241-0728 |
| Practice Telephone | 8604995057 |
| Practice Fax Number | 8604995057 |
| Mailing Telephone | 8604995057 |
| Mailing Fax Number | 8604995057 |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |
| Authorized Official Name | BENJAMIN JAMES SALOIS (MEMBER) |
| Authorized Official Telephone | 8604995057 |
| Authorized Official Credential | LO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Green Valley Optical, LLC | 21 Putnam Pike, Dayville, CT 06241 |
| Street Address |
21 PUTNAM PIKE |
| City | DAYVILLE |
| State | CT |
| Zip Code | 06241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962656397 | Kimbal Coventry Sheffield | Dentist | 1040 N. Main Street, Kimbal Sheffield, D.d.s., L.L.C., Dayville, CT 06241 | 2008-11-12 |
| 1033378435 | David Marc Caron | Dentist | 24 Putnam Pike, Dayville, CT 06241 | 2008-06-02 |
| 1447353156 | Kimbal Sheffield Dds and David Caron Dmd LLC | Dentist | 1040 N Main Street, Dayville, CT 06241 | 2006-09-07 |
| 1811906837 | Kerry Lee Methot | Massage Therapist | 545 Hartford Turnpike, Dayville, CT 06241 | 2006-08-07 |
| 1356366538 | Celeste R. Chartier | Counselor | 1007 North Main St., Dayville, CT 06241 | 2006-07-12 |
| 1437183175 | James Alan Garland | Social Worker | 1007 North Main Street, Dayville, CT 06241 | 2006-07-10 |
| 1376575241 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 1094 Killingly Commons Dr, Dayville, CT 06241 | 2006-07-07 |
| 1801367495 | Samer Ashour | Nurse Practitioner | 1007 N Main St, Dayville, CT 06241 | 2018-12-08 |
| 1841760402 | Melissa Souza | Physical Therapist | 150 Ware Rd., Dayville, CT 06241 | 2018-11-27 |
| 1518458637 | Luke Dery | Counselor | 1007 N Main St, Dayville, CT 06241 | 2018-05-24 |
| Find all providers in zip 06241 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677481 | Ronald Haas Jr. | Technician/Technologist | 24 Pennsylvania Ave, Niantic, CT 06357-3231 | 2020-07-27 |
| 1982223293 | Sonya Voytas Maher | Technician/Technologist | 1197 Main Street, Coventry, CT 06109 | 2020-04-16 |
| 1134754294 | Dorothy Reynolds | Technician/Technologist | 2480 Black Rock Tpk, Fairfield, CT 06825-2406 | 2020-03-10 |
| 1881228237 | Rene R Rivard | Technician/Technologist | 639 Park Rd Ste 100, West Hartford, CT 06107-3443 | 2020-02-25 |
| 1588203301 | Rebecca Eneida Soto | Technician/Technologist | 20 Pasco Drive Suit A, East Windsor, CT 06088 | 2019-12-26 |
| 1881115657 | Ashley Marie Holodnak | Technician/Technologist | 130 Amity Road, New Haven, CT 06515-0651 | 2017-07-03 |
| 1215480785 | George Hatsian | Technician/Technologist | 4 High Hill Cir, Weatogue, CT 06089-9728 | 2016-08-01 |
| 1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
| 1942660220 | James Valinsky | Technician/Technologist | 240 Swain Ave, Meriden, CT 06450-7218 | 2016-03-01 |
| 1316321565 | Russell Fritz Jr. | Technician/Technologist | 2313 Whitney Ave., Suite 1d, Hamden, CT 06518-3504 | 2015-07-17 |
| 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.