OPTOMETRIC SPECIALTY GROUP LIMITED LIABILITY COMPANY
NPI 1184717365
Optometrist in West Hartford, CT

Active since October 02, 2006
77 S MAIN ST, WEST HARTFORD, CT 06107(860) 236-1218 Get Directions Write a Review

NPPES record last updated: March 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Optometric Specialty Group Limited Liability Company NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTOMETRIC SPECIALTY GROUP LIMITED LIABILITY COMPANY (NPI 1184717365) is a healthcare organization registered as an optometrist in West Hartford, Connecticut and active in the NPI registry since October 2006. The organization lists Edie Ryba, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1184717365
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameOPTOMETRIC SPECIALTY GROUP LIMITED LIABILITY COMPANY
Location Address77 S MAIN STWest Hartford, CT 06107-2404
Mailing Address77 S Main StWest Hartford, CT 06107-2404 · (860) 236-1218
Organization SubpartNo
Authorized OfficialEdie RybaPractice Manager · (860) 236-1218
Enumeration DateOctober 2, 2006
Last NPPES UpdateMarch 8, 2010
NPI 1184717365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in CT · 02448
Definition
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.
77 S MAIN ST, West Hartford, CT 06107

Other Identifiers 2

Medicare UPINU66345CT
Medicare NSC0410000820CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Optometric Specialty Group Limited Liability Company's NPI number?

The NPI number for Optometric Specialty Group Limited Liability Company is 1184717365. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Optometric Specialty Group Limited Liability Company located?

Optometric Specialty Group Limited Liability Company is located at 77 S Main St, West Hartford, CT 06107. The listed phone number is (860) 236-1218.

What is Optometric Specialty Group Limited Liability Company's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Optometric Specialty Group Limited Liability Company was last updated on March 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.