MVCA (NPI# 1205434347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205434347 |
| Entity Type | Organization |
| Organization Name | MVCA |
| Practice Address |
Navy Submarine Base New London Bldg 484 Groton CT 06349 |
| Mailing Address |
34 Quailcrest Rd East Lyme CT 06333-1328 |
| Practice Telephone | 8604519733 |
| Mailing Telephone | 8608579145 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | DR. ELIZABETH MCMUNN (MANAGING MEMBER) |
| Authorized Official Telephone | 8608579145 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MVCAMM SECURITY SOLUTIONS LLC | 505 County Line Rd, Amityville, New York 11701 |
| Street Address |
NAVY SUBMARINE BASE NEW LONDON BLDG 484 |
| City | GROTON |
| State | CT |
| Zip Code | 06349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376194274 | Christopher Lee Roy Smith | Military Health Care Provider | Uss San Juan (ssn 751), Groton, CT 06349 | 2019-09-23 |
| 1588127575 | Morgan Ross Jones | Student in an Organized Health Care Education/Training Program | Bx 159 Navsubase Nlon, Groton, CT 06349 | 2019-04-08 |
| 1689179640 | David Saunders | Military Health Care Provider | 159 Navsubase Nlon, Groton, CT 06349 | 2018-03-29 |
| 1013264423 | Dennis Buenaventura Custodio | Military Health Care Provider | 69 Trout Ave, Naval Undersea Medical Institute, Groton, CT 06349 | 2012-08-06 |
| 1609013549 | Nicolas David Mendoza | Military Health Care Provider | Uss Hawaii (ssn 776), Fpo, AE 06349 | 2009-01-14 |
| 1881843084 | Mark Francis Jarvis | Military Health Care Provider | Nssc Nlon, Bldg 76, Groton, CT 06349 | 2008-09-11 |
| 1780882738 | Michael Nutt | Military Health Care Provider | Bldg 517 Taugtog Ave, Navsubscol, Groton, CT 06349 | 2007-07-10 |
| 1497811343 | Keith Benjamin Hoekman | Nurse Practitioner | 1 Wahoo Dr, Groton, CT 06349 | 2006-12-28 |
| 1881604163 | Christina E Toufexis | Pediatrics | 1 Wahoo Drive, Groton, CT 06349 | 2006-08-09 |
| 1639147606 | David Andrew Peterson Jr. | Military Health Care Provider | Nomi Det Numi Submarine Base Nlon, Building 159, Groton, CT 06349 | 2006-03-08 |
| Find all providers in zip 06349 | ||||
| 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 |
|---|---|---|---|---|
| 1104347806 | Renae Reynolds | Optometrist | 489 Gold Star Hwy Ste 100, Groton, CT 06340 | 2017-07-03 |
| 1952594764 | Groton Eye Center, LLC. | Optometrist | 456 Long Hill Rd, Groton, CT 06340-4107 | 2007-08-24 |
| 1659337145 | George Dennis Adrian | Optometrist | 1041 Poquonnock Rd, Groton, CT 06340-4211 | 2006-04-24 |
| 1528027869 | Stephanie T. Borey | Optometrist | 258 Route 12, Suite 3, Groton, CT 06340-3415 | 2006-03-23 |
| 1265414114 | Stewart Edward Galeucia | Optometrist | 150 Gold Star Hwy, Groton, CT 06340-3442 | 2005-11-16 |
| 1063010668 | Jessica Fretto | Optometrist | 1041 Poquonnock Rd, Groton, CT 06340-2201 | 2020-10-15 |
| 1407454473 | Pamela Nardella | Optometrist | 1041 Poquonnock Rd, Groton, CT 06340-2201 | 2020-10-13 |
| 1114582129 | Kallinen Eye Care, LLC | Optometrist | 1041 Poquonnock Rd, Groton, CT 06340-4211 | 2019-05-06 |
| 1083104962 | Jarrod Ross Nigrelli | Optometrist | 1 Wahoo Ave, Groton, CT 06349-2324 | 2018-05-16 |
| 1043734395 | Jonathan Jacesko | Optometrist | 1 Wahoo Ave, Groton, CT 06349-2324 | 2017-07-28 |
| Find all providers in GROTON | ||||
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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.