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OPTIMYSTIC LLC
NPI 1679107411
Optometrist in Mystic, CT

Active since March 02, 2020
12 ROOSEVELT AVE, MYSTIC, CT 06355(860) 536-1313(860) 572-7770 Get Directions Write a Review

NPPES record last updated: March 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2020, Mar 2, 2020 (2 updates tracked since 2020).

About Optimystic Llc NPPES

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

OPTIMYSTIC LLC (NPI 1679107411), doing business as Optimystic Eye Group, is a healthcare organization registered as an optometrist in Mystic, Connecticut and active in the NPI registry since March 2020. The organization lists Thomas Jeffrey Wagner, Member, as its authorized official.

NPPES Registry Identity

NPI1679107411
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameOPTIMYSTIC LLC
Location Address12 ROOSEVELT AVEMystic, CT 06355-2809
Mailing Address12 Roosevelt AveMystic, CT 06355-2809 · (860) 536-1313 · Fax (860) 572-7770
Phone(860) 536-1313
Fax(860) 572-7770
Organization SubpartNo
Authorized OfficialThomas Jeffrey WagnerMember · (860) 536-1313
Enumeration DateMarch 2, 2020
Last NPPES UpdateMarch 24, 20202 updates tracked since enumeration
NPPES CertifiedMarch 24, 2020
✔ NPI 1679107411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
12 ROOSEVELT AVE, Mystic, CT 06355
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Other Names 1

Doing Business AsOptimystic Eye Group

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

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROL SMITH PHD
Psychologist
12 ROOSEVELT AVE, APROMA STUDIOS
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 777-5560
DR. THOMAS JEFFREY WAGNER OD MS
Optometrist
12 ROOSEVELT AVE
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-1313
NATURA MEDICA
Naturopath
12 ROOSEVELT AVE
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 572-9566
ANNE RIVERS LCSW
Social Worker (Clinical)
12 ROOSEVELT AVE, SUITE 203
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-4383
SUSANNE G TAYLOR LMFT
Marriage & Family Therapist
12 ROOSEVELT AVE
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 899-7711
DR. MADLENE ESKAROSE
Dentist (General Practice)
12 ROOSEVELT AVE
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 572-0593
JEANNINE CLEAVER LCSW
Social Worker (Clinical)
12 ROOSEVELT AVE
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (602) 459-8408
MS. LISA VENDITTO MA
Counselor (Professional)
12 ROOSEVELT AVE
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 333-4634

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 Optimystic LLC's NPI number?

The NPI number for Optimystic LLC is 1679107411. It was assigned to this organization in the NPPES registry on March 2, 2020. The provider is doing business as OptiMystic Eye Group.

Where is Optimystic LLC located?

Optimystic LLC is located at 12 Roosevelt Ave, Mystic, CT 06355. The listed phone number is (860) 536-1313.

What is Optimystic LLC'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 Optimystic LLC was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.