MEDICARE: TOTALVISION EYECARE CENTER OF MANCHESTER PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	002023	CT

General Provider Information

NPI Number	:	1790910032
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTALVISION EYECARE CENTER OF MANCHESTER PLLC

Provider Business Mailing Address
First Line	:	362 MIDDLE TPKE W
Second Line	:
City	:	MANCHESTER
State	:	CT
Zip	:	06040-3824
Country	:	US
Telephone Number	:	860-649-3311
Fax Number	:	860-533-1960

Provider Business Practice Location Address
First Line	:	362 MIDDLE TPKE W
Second Line	:
City	:	MANCHESTER
State	:	CT
Zip	:	06040-3824
Country	:	US
Telephone Number	:	860-649-3311
Fax Number	:	860-533-1960

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LANCE I ALPERT
Credential	:	OD
Telephone Number	:	860-649-3311

Provider Enumeration Date	:	05/15/2009
Last Update Date	:	09/22/2025

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