Provider Demographics
NPI:1669277760
Name:JAYA VISION, PC
Entity type:Organization
Organization Name:JAYA VISION, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRY OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHREYA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAYASIMHA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:857-271-9190
Mailing Address - Street 1:407 STRAWBERRY HILL AVE
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-2513
Mailing Address - Country:US
Mailing Address - Phone:857-271-9190
Mailing Address - Fax:
Practice Address - Street 1:200 FEDERAL RD
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:CT
Practice Address - Zip Code:06804-2514
Practice Address - Country:US
Practice Address - Phone:203-740-7623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty