DR. MICHAEL J GORMAN (NPI# 1114930419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114930419 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL J GORMAN |
| Credential | OD |
| Practice Address |
775 Main St Stratford CT 06615 |
| Practice Telephone | 2033772020 |
| Practice Fax Number | 2033819936 |
| Mailing Telephone | 2033772020 |
| Mailing Fax Number | 2033819936 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2008-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 000660 | CT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004023446 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144304726 | Michael Andrew Gorman | Dentist | 10796 Pines Blvd Ste 203, Pembroke Pines, FL 33026-3919 | 2006-10-24 |
| 1306927298 | Michael Patrick Gorman | Dentist | 121 W Garfield, Cissna Park, FL 60924 | 2006-10-18 |
| 1871693093 | Michael James Gorman | Occupational Therapist | 3108 W Truman Blvd, Jefferson City, MO 65109-4918 | 2006-09-25 |
| 1841206042 | Michael Haskins Gorman | Dentist | 14245p Centreville Sq, Centreville, VA 20121 | 2006-07-31 |
| 1790799815 | Michael J Gorman | Social Worker | 103 Hyacinth Ln, Las Vegas, NV 89107-2341 | 2006-07-27 |
| 1609880657 | Michael Albert Gorman | Chiropractor | 636 Lincoln Hwy, 10, Fairless Hills, PA 19030-1416 | 2006-07-27 |
| 1790718930 | Michael J Gorman | Physical Therapist | 17300 North Outer Forty, Suite 205, Chesterfield, MO 63005-1361 | 2006-07-09 |
| 1356342364 | Michael Justin Gorman | Family Medicine | 1301 Bertha Howe Ave, Suite 1, Mesquite, NV 89027-7502 | 2005-08-02 |
| 1659904787 | Michael Gorman | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-02-18 |
| 1821562802 | Michael Paul Gorman | Counselor | 35 Front St, Binghamton, NY 13905-4703 | 2019-01-14 |
| Street Address |
775 MAIN ST |
| City | STRATFORD |
| State | CT |
| Zip Code | 06615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548256647 | Family Vision Center LLC | Optometrist | 775 Main St, Stratford, CT 06615-7406 | 2005-09-23 |
| 1578030458 | Kimberly Raucci | Optometrist | 775 Main St, Stratford, CT 06615-7406 | 2018-10-29 |
| 1811448442 | Family Vision Center | Technician/Technologist | 775 Main St, Stratford, CT 06615-7406 | 2016-10-19 |
| 1376716860 | Helen Ambizas | Optometrist | 775 Main St, Stratford, CT 06615-7406 | 2008-04-07 |
| 1912170408 | Shawn Alexander Burns | Optometrist | 775 Main St, Stratford, CT 06615-7406 | 2008-04-07 |
| 1114062999 | Sean West | Optometrist | 775 Main St, Stratford, CT 06615-7406 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154713832 | Lauren Pessin | Behavioral Analyst | 55 Sutton Ave, Stratford, CT 06615 | 2015-03-04 |
| 1801223748 | Steven Flathers | Occupational Therapist | 27 Eunice Parkway, Stratford, CT 06615 | 2013-10-10 |
| 1700219243 | Stratford Orthodontics | Dentist | 2499 Main Street, Stratford, CT 06615 | 2013-08-20 |
| 1417380981 | Debra L Tomaselli | Marriage & Family Therapist | 2296 Main Street, 2nd Floor, Stratford, CT 06615 | 2013-08-19 |
| 1003199217 | Katherine Bajda | Nurse Practitioner | 837 Prospect Drive, Stratford, CT 06615 | 2011-09-23 |
| 1336326495 | Dammy Bamisile | Social Worker | 100 Center Street, Shelton, CT 06615 | 2008-01-30 |
| 1487868550 | Mark Rabin | Medical Genetics, Ph.D. Medical Genetics | Dianon Systems, 200 Watson Boulevard, Stratford, CT 06615 | 2007-05-09 |
| 1205958675 | Sophia Leonida M.d., PC | Clinic/Center | 2505 Main St., Stratford, CT 06615 | 2007-04-04 |
| 1558488213 | Fatima Eslami-varzaneh | Pathology | 200 Watson Boulvard, Stratford, CT 06615 | 2007-03-26 |
| 1881729804 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 555 Lordship Boulevard, Stratford, CT 06615 | 2007-02-22 |
| Find all providers in zip 06615 | ||||
| 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 |
|---|---|---|---|---|
| 1508089202 | Professional Eyecare Associates, LLC | Optometrist | 475 Hawley Ln Ste 8, Eye Care World, Stratford, CT 06614-1587 | 2007-04-11 |
| 1013098565 | Robert L Salth | Optometrist | 123 E Laurel Rd, Stratford, NJ 08084-1324 | 2006-10-18 |
| 1063518173 | Thomas Martin Eng | Optometrist | 475 Hawley Lane; Suite #8, Eye Care World, Stratford, CT 06614 | 2006-09-15 |
| 1801826334 | Joel Aaron Westrum | Optometrist | 3475 Fenton Ave, Stratford, IA 50249-7574 | 2006-07-03 |
| 1548256647 | Family Vision Center LLC | Optometrist | 775 Main St, Stratford, CT 06615-7406 | 2005-09-23 |
| 1578030458 | Kimberly Raucci | Optometrist | 775 Main St, Stratford, CT 06615-7406 | 2018-10-29 |
| 1003176850 | Anna Greene Mellinger | Optometrist | 123 E Laurel Rd, Stratford, NJ 08084-1324 | 2012-05-25 |
| 1376716860 | Helen Ambizas | Optometrist | 775 Main St, Stratford, CT 06615-7406 | 2008-04-07 |
| 1912170408 | Shawn Alexander Burns | Optometrist | 775 Main St, Stratford, CT 06615-7406 | 2008-04-07 |
| 1295866242 | Stratford Eyecare Associates, L.L.C. | Optometrist | 1040 Barnum Ave, Stratford, CT 06614-4968 | 2007-03-08 |
| Find all providers in STRATFORD | ||||
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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.