NEW HAVEN OPTICAL, LLC (NPI# 1821148230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821148230 |
| Entity Type | Organization |
| Organization Name | NEW HAVEN OPTICAL, LLC |
| Practice Address |
1318 Minnich Rd New Haven IN 46774-2052 |
| Practice Telephone | 2607490407 |
| Practice Fax Number | 2607499818 |
| Mailing Telephone | 2607490407 |
| Mailing Fax Number | 2607499818 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2009-03-19 |
| Authorized Official Name | DR. THOMAS EUGENE BAKER I (MANAGER) |
| Authorized Official Telephone | 2607490407 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18002262B | IN | Eye and Vision Services Providers |
| Street Address |
1318 MINNICH RD |
| City | NEW HAVEN |
| State | IN |
| Zip Code | 46774-2052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841340361 | Thomas Eugene Baker I | Optometrist | 1318 Minnich Rd, New Haven, IN 46774-2052 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235659236 | Tyann Nicole Sanchez | Doula | 16018 Platter Road, New Haven, IN 46774 | 2017-06-21 |
| 1073673430 | Benjamin Craig Swinehart | Physical Therapist | 10876 Isabelle Dr., New Haven, IN 46774 | 2006-12-08 |
| 1912930223 | Adams County Memorial Hospital | Skilled Nursing Facility | 1201 Daly Dr, New Haven, IN 46774 | 2006-07-09 |
| 1922520410 | Claressa Sue Brekke | Physical Therapist | 1316 Minnich Rd, New Haven, IN 46774 | 2017-07-17 |
| 1750558706 | Kristen Zurbuch Ms Ccc-slp | Speech-Language Pathologist | 3117 Pawnee Ct, New Haven, IN 46774 | 2008-05-09 |
| 1548442197 | Brackmann & Hockemeyer Optometry Inc | Optometrist | 1010 Boulder Ridge Trl, New Haven, IN 46774-0010 | 2007-12-05 |
| 1023349255 | Elzabeth K Hartup | Specialist | 8805 Edwardsberg Pl, New Haven, IN 46774-1079 | 2010-01-28 |
| 1417365958 | Jeremy Oyer | Physical Therapy Assistant | 8805 Edwardsberg Pl, New Haven, IN 46774-1079 | 2014-07-29 |
| 1467728204 | Jeremy Duane Stewart | Physical Therapy Assistant | 156 Sturm St, New Haven, IN 46774-1141 | 2012-03-27 |
| 1215313911 | Theresa Schortgen | Health Educator | 146 N Rufus St, New Haven, IN 46774-1162 | 2015-08-04 |
| Find all providers in zip 46774 | ||||
| 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 |
|---|---|---|---|---|
| 1407145485 | Peter L Jamison | Optometrist | 60 Alston Ave, New Haven, CT 06515-2701 | 2011-03-30 |
| 1992949226 | Leroy Bentham | Optometrist | 347 -3 49 Whalley Ave, Prestige Vision & Eye Care, New Haven, CT 06511-3140 | 2009-04-30 |
| 1548442197 | Brackmann & Hockemeyer Optometry Inc | Optometrist | 1010 Boulder Ridge Trl, New Haven, IN 46774-0010 | 2007-12-05 |
| 1841340361 | Thomas Eugene Baker I | Optometrist | 1318 Minnich Rd, New Haven, IN 46774-2052 | 2007-01-10 |
| 1760543060 | Larry Neil Spector | Optometrist | 1044 Chapel St, New Haven, CT 06510-2434 | 2006-12-12 |
| 1639191588 | Philip M Perrino | Optometrist | 815 Chapel St, New Haven, CT 06510-3001 | 2006-07-23 |
| 1336131630 | Troy S Hockemeyer | Optometrist | 10848 Rose Ave, New Haven, IN 46774-9811 | 2005-08-22 |
| 1861484081 | David W. Joel | Optometrist | 130 Amity Rd, New Haven, CT 06515-1405 | 2005-08-16 |
| 1083259428 | Nguyen Tran | Optometrist | 1457 Whalley Ave, New Haven, CT 06515-1153 | 2019-11-08 |
| 1730656943 | Shefali Patel | Optometrist | 130 Amity Rd, New Haven, CT 06515-1405 | 2018-10-25 |
| Find all providers in NEW HAVEN | ||||
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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.