Healthcare Provider Details

I. General information

NPI: 1992136360
Provider Name (Legal Business Name): VISION CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2013
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

844 N COLONY RD
WALLINGFORD CT
06492-2771
US

IV. Provider business mailing address

129 OCONNELL DR
EAST HARTFORD CT
06118-3438
US

V. Phone/Fax

Practice location:
  • Phone: 203-800-6987
  • Fax:
Mailing address:
  • Phone: 860-781-0500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY GORDON
Title or Position: OPTOMETRIST
Credential: OD
Phone: 860-781-0500