Provider Demographics
NPI:1700410727
Name:OPTIMIZED VISION & EYE CARE LLC
Entity Type:Organization
Organization Name:OPTIMIZED VISION & EYE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:XIUYANG
Authorized Official - Middle Name:
Authorized Official - Last Name:GUO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:203-503-8832
Mailing Address - Street 1:23 OLD FARM RD
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:CT
Mailing Address - Zip Code:06525-2400
Mailing Address - Country:US
Mailing Address - Phone:203-503-8832
Mailing Address - Fax:
Practice Address - Street 1:555 UNIVERSAL DR N
Practice Address - Street 2:
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-3142
Practice Address - Country:US
Practice Address - Phone:203-503-8832
Practice Address - Fax:833-929-2456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-28
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty