Provider Demographics
NPI:1922147503
Name:VISUALEYES, LLC
Entity Type:Organization
Organization Name:VISUALEYES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SWENBY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:203-458-1900
Mailing Address - Street 1:705 BOSTON POST RD STE 10A
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2733
Mailing Address - Country:US
Mailing Address - Phone:203-458-1900
Mailing Address - Fax:203-458-2300
Practice Address - Street 1:705 BOSTON POST RD STE 10A
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-2733
Practice Address - Country:US
Practice Address - Phone:203-458-1900
Practice Address - Fax:203-458-2300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002570152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTC03010Medicare PIN