Active NPI
Mary Wing Sum Tam, MD
- Ophthalmology Physician
- Danbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 80895
- Practice address
- 57 North St Ste 415
Danbury, CT 06810-5629 - Phone
- (203) 628-4995
- NPI assigned
- May 22, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | T6053 | TX | |
| Ophthalmology Physician | 207W00000X | 80895 | CT | Primary |
| Ophthalmology Physician | 207W00000X | ME163116 | FL | |
| Internal Medicine Physician | 207R00000X | 275696 | MA | |
| Ophthalmology Physician | 207W00000X | 960492 | NY |
Addresses
Primary practice location
57 North St Ste 415
Danbury, CT 06810-5629
Mailing address
57 North St Ste 415
Danbury, CT 06810-5629
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119673400 | Medicaid | FL | |
| 1053802454 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Tufts University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
57 N St
Suite 415
Danbury, CT 06810-5629
Phone (203) 794-0117
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.49 of 100
- Quality
- 75.46
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 73.67
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80895 | CT | MD | Ophthalmology Physician |
| 960492 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Aran Eye Associates PA | Current | Accepting new patients | |
| Aran Eye Associates PA | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Stanley D Braverman MD LLC | Ophthalmology | Current | Accepting new patients |
| Refocus Eye Health of Central Connecticut, P.C. | Ophthalmology | Current | Accepting new patients |
| South Florida Vision Associates, LLC | Ophthalmology | Current | Accepting new patients |
| University of Texas Southwestern Medical Center at Dallas | Ophthalmology | Current | Accepting new patients |
| Aran Eye Associates, PA | Current | Accepting new patients | |
| Refocus Eye Health of Central Connecticut, P.C. | Ophthalmology | Current | Accepting new patients |
| Aran Eye Associates PA | Current | Accepting new patients |
Locations
47 Jolley Dr
Bloomfield, CT 06002
Phone (860) 243-3020
57 North St
Ste 415
Danbury, CT 06810
Phone (203) 794-0117
87 Grandview Ave
Ste B
Waterbury, CT 06708
Phone (203) 465-1424
2900 W Cypress Creek Rd
Ste 4
Ft Lauderdale, FL 33309
Phone (954) 676-8446
2900 W Cypress Creek Rd
Ste 1
Ft Lauderdale, FL 33309
Phone (954) 977-0192
2900 W Cypress Creek Rd
Ste 13
Ft Lauderdale, FL 33309
Phone (954) 343-6552
1050 N Federal Hwy
Hollywood, FL 33020
Phone (954) 458-2112
7600 Corporate Center Dr
Miami, FL 33126
290 NW 165th St
Ph 2
North Miami Beach, FL 33169
Phone (305) 949-1600
290 NW 165th St
Ste L100
North Miami Beach, FL 33169
Phone (305) 494-1600
14201 W Sunrise Blvd
#101101
Sunrise, FL 33323
Phone (954) 838-1382
5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396
5303 Harry Hines Blvd
Fl 6
Dallas, TX 75390
Phone (214) 645-2225
800 8th Ave
Ste 306
Fort Worth, TX 76104
Phone (817) 336-1300
600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Interoperability endpoints
- mary.tam.p6@direct.araneyeassociates.nextgenshare.com
- mtam@refocus.intellechartdirect.net
- mary.tam.p1@direct.araneyeassociates.nextgenshare.com
Organizations & group practices 11
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.
-
- Ophthalmology Physician
- Waterbury, CT
- NPI 1548874936
-
- Specialist
- Miami, FL
- NPI 1710561097
-
- Ophthalmology Physician
- Fort Lauderdale, FL
- NPI 1275949653
-
- Ophthalmology Physician
- Hollywood, FL
- NPI 1265586127
-
- Eyewear Supplier
- Waterbury, CT
- NPI 1689459471
Ophthalmology
-
- Specialist
- Coral Gables, FL
- NPI 1295832582
-
- Specialist
- Miami, FL
- NPI 1447359989
-
- Specialist
- Cutler Bay, FL
- NPI 1689060501
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Ophthalmology Physician
- Dallas, TX
- NPI 1851361471
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1053802454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 NORTH ST STE 415",
"city": "DANBURY",
"state": "CT",
"postal_code": "068105629",
"fax_number": "203-628-4995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 NORTH ST STE 415",
"city": "DANBURY",
"state": "CT",
"postal_code": "068105629",
"telephone_number": "203-628-4995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAM",
"first_name": "MARY",
"middle_name": "WING SUM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-22",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "T6053",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CT",
"license": "80895",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME163116",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "275696",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "960492",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119673400",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053802454",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.