Individual provider Active NPI

William Thomas Doty, OD

  • Optometrist
  • Ridgefield, CT
National Provider Identifier
1053424424
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
000867 Issued in CT
Practice address
85 Main St
Ridgefield, CT 06877
Phone
(203) 438-2840
Fax
(203) 431-8396
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 000867 CT Primary

Addresses

Primary practice location

85 Main St
Ridgefield, CT 06877

Mailing address

85 Main St
Ridgefield, CT 06877-4929
Phone (203) 438-2840

Other identifiers 1

IdentifierTypeStateIssuer
410000387OtherCTMEDICARE SUBMITTER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100303000337 CT Practitioner - Optometry 3173668050 Reassigns benefits to 1 organization
Practice locations: Ridgefield, CT

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Doty and AssociatesGroup PAC ID 9335489681, 2 clinicians

Practice addresses (Care Compare)

85 Main St
Ridgefield, CT 06877-4929
Phone (203) 438-2840

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Doty and Associates Optometrist CurrentSince Apr 14, 2019 Accepting new patients
William Doty O.D. Optometrist PastSince Jan 1, 1990 Accepting new patients

Locations

85 Main St
Ridgefield, CT 06877
Phone (203) 438-2840

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1053424424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 MAIN ST",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774929",
            "telephone_number": "203-438-2840",
            "fax_number": "203-431-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 MAIN ST",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "06877",
            "telephone_number": "203-438-2840",
            "fax_number": "203-431-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTY",
        "first_name": "WILLIAM",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "000867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SUBMITTER ID",
            "identifier": "410000387",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

Verify at the official NPI Registry.