FANG VISION CARE LLC (NPI# 1972048460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972048460 |
| Entity Type | Organization |
| Organization Name | FANG VISION CARE LLC |
| Practice Address |
420 Buckland Hills Dr Vision Center Manchester CT 06042-8755 |
| Practice Telephone | 8606441203 |
| Mailing Telephone | 8606441203 |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2016-12-20 |
| Authorized Official Name | DR. XIAOMIN FANG (OWNER) |
| Authorized Official Telephone | 8609209390 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2864 | CT | Eye and Vision Services Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | FANG VISION CARE LLC | 200 Regan Road, Apartment 26c, Vernon, CT 06066 |
| Street Address |
420 BUCKLAND HILLS DR VISION CENTER |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-8755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417974791 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 420 Buckland Hills Dr, Manchester, CT 06042-8755 | 2006-07-16 |
| 1760967905 | Yan Zhang | Optometrist | 420 Buckland Hills Dr, Manchester, CT 06042-8755 | 2018-10-03 |
| 1386135465 | Jay Alan Berman | Pharmacist | 420 Buckland Hills Dr, Manchester, CT 06042-8755 | 2018-05-23 |
| 1063912749 | Chaitali J Tophkhane | Pharmacist | 420 Buckland Hills Dr, Manchester, CT 06042-8755 | 2018-02-19 |
| 1780190579 | Madhura Naik | Pharmacist | 420 Buckland Hills Dr, Manchester, CT 06042-8755 | 2017-12-16 |
| 1316491855 | Laura Crane | Technician/Technologist | 420 Buckland Hills Dr, Manchester, CT 06042-8755 | 2016-08-13 |
| 1477913515 | Matthew Bigos | Technician/Technologist | 420 Buckland Hills Dr, Manchester, CT 06042-8755 | 2016-03-02 |
| 1598125775 | Michael Thompson | Technician/Technologist | 420 Buckland Hills Dr, Manchester, CT 06042-8755 | 2016-03-01 |
| 1598827156 | Jamie L Bonafine | Pharmacist | 420 Buckland Hills Dr, Manchester, CT 06042-8755 | 2006-12-13 |
| 1528157393 | Ronald S Levitt | Optometrist | 420 Buckland Hills Dr, Manchester, CT 06040 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275000960 | Nicole Berger | Behavioral Analyst | 199 Tudor Lane, Apartment E, Manchester, CT 06042 | 2018-10-31 |
| 1902336522 | Karen Scandura | Pharmacist | 260 North Main Street, Manchester, CT 06042 | 2017-06-15 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| 1962657288 | Anthony Michael Gioscia | Optometrist | 344v Buckland Hills Dr, Manchester, CT 06042 | 2008-12-01 |
| 1467635714 | Linda Fernald Gates | Dietitian, Registered | 300 Parker St, Manchester, CT 06042 | 2007-12-10 |
| 1669513909 | Carlos Alfonso Gonzalez | Psychiatry & Neurology | 317 North Main Street, C/o Ccgc, Manchester, CT 06042 | 2007-02-09 |
| 1942350467 | Lise G. O'neill | Counselor | Manchester Memorial Hospital, 71 Haynes St, Manchester, CT 06042 | 2007-01-10 |
| 1558439398 | Jason Allen Sousa | Chiropractor | 1127 Tolland Turnpike, Suite 102, Manchester, CO 06042 | 2006-12-01 |
| 1245332444 | Sharon Soria | Dentist | 192 Main Street, Manchester, TN 06042 | 2006-09-01 |
| 1699732206 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 240, Manchester, CT 06042 | 2006-04-27 |
| Find all providers in zip 06042 | ||||
| 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 |
|---|---|---|---|---|
| 1750836649 | Amanda Bilunas | Optometrist | 238 Tolland Tpke, G, Manchester, CT 06042-1744 | 2016-08-20 |
| 1457737447 | Samantha Mein | Optometrist | 581 2nd St, Manchester, NH 03102-5200 | 2015-08-03 |
| 1083098156 | Stephanie Sturgis | Optometrist | 397b Broad Street, Manchester, CT 06040 | 2015-07-17 |
| 1568703387 | Nicholas Olberding | Optometrist | 225 W Main St # 308, Manchester, IA 52057-1533 | 2013-03-04 |
| 1356692214 | Complete Family Eyecare, LLC | Optometrist | 238g Tolland Tpke, Manchester, CT 06042-5706 | 2012-10-01 |
| 1154698702 | Preventative & Regenerative Eye Care, LLC | Optometrist | 1107 Brittany Parkway Dr, Manchester, MO 63011-4327 | 2011-11-28 |
| 1891075727 | Bhavika Mahesh Patidar | Optometrist | 232 Maple Springs Dr, Manchester, TN 37355-3764 | 2011-08-23 |
| 1083918692 | Contemporary Vision Center, LLC | Optometrist | 971 Brittany Parkway Drive, Manchester, MO 63011 | 2010-12-23 |
| 1932417870 | West County Eye Care LLC | Optometrist | 23 Stonegate Ctr, Manchester, MO 63088-1215 | 2010-09-14 |
| 1386957157 | Wei Zhu | Optometrist | 344 Buckland Hills Dr, Manchester, CT 06042-8700 | 2010-07-21 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06042 |
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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.