MEDICARE: VISION CARE LLC

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

General Provider Information

NPI Number	:	1992136360
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISION CARE LLC

Provider Business Mailing Address
First Line	:	129 OCONNELL DR
Second Line	:
City	:	EAST HARTFORD
State	:	CT
Zip	:	06118-3438
Country	:	US
Telephone Number	:	860-781-0500
Fax Number	:

Provider Business Practice Location Address
First Line	:	844 N COLONY RD
Second Line	:
City	:	WALLINGFORD
State	:	CT
Zip	:	06492-2771
Country	:	US
Telephone Number	:	203-800-6987
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	ANTHONY GORDON
Credential	:	OD
Telephone Number	:	860-781-0500

Provider Enumeration Date	:	12/10/2013
Last Update Date	:	01/07/2026

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Directions to “VISION CARE LLC ” Practice Location

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