Matthew E Elgart, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

680 Issued in CT

Practice address

1156 Boston Post Rd
Old Saybrook, CT 06475-4405

Phone

(860) 388-2020

Fax

(860) 388-0889

NPI assigned

Aug 18, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1043202872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 BOSTON POST RD",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754405",
            "telephone_number": "860-388-2020",
            "fax_number": "860-388-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 BOSTON POST RD",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754405",
            "telephone_number": "860-388-2020",
            "fax_number": "860-388-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGART",
        "first_name": "MATTHEW",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004023552",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Dufore, PHD
• Michael William Dunne, MD
• Alyssa Ann Duperry, APRN
• East Coast Anesthesia
• Robert Ladd Edmonstone, DDS
• Monya D Elgart, OD
• Larisa Ellis, DDS
• Peter Elman, RPH,PD
• Elmwood and Main Dentistry LLC
• Adam E. M. Eltorai, MD, PHD

• Optometrist in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.