John Wayawotzki, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0938 Issued in CT

Practice address

174 Danbury Rd
New Milford, CT 06776

Phone

(860) 354-5537

Fax

(860) 350-9340

NPI assigned

Sep 29, 2006

Last updated

Apr 16, 2020By the provider in NPPES

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

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Connecticut LLCGroup PAC ID 1557666237, 70 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Myeyedr Optometry of Connecticut, LLC

  dba MyEyeDr.

  • Optometrist
  • Ansonia, CT
  • NPI 1396119194
  Medicare reassignment Care Compare group NPD
• Private Eye Vision Center

  • Optometrist
  • New Milford, CT
  • NPI 1225208234
  NPD Authorized official
• Myeyedr Optometry of Connecticut, LLC

  dba MyEyeDr.

  • Optometrist
  • New Milford, CT
  • NPI 1245686930
  NPD
• Myeyedr Optometry of Connecticut, LLC

  dba MyEyeDr.

  • Optometrist
  • Vernon, CT
  • NPI 1992207468
  NPD
• Myeyedr Optometry of Connecticut, LLC

  dba MyEyeDr.

  • Optometrist
  • Greenwich, CT
  • NPI 1639902711
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1063504637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 DANBURY RD",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "06776",
            "telephone_number": "860-354-5537",
            "fax_number": "860-350-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 DANBURY RD",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "06776",
            "telephone_number": "860-354-5537",
            "fax_number": "860-350-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYAWOTZKI",
        "first_name": "JOHN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "0938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Grady Waldmann, M.S. CCC-SLP
• Walgreen Co (Walgreens #19560)
• Page Waller, P.A.
• Sharon Louise Ward, D.C.
• Waves of Healing LLC
• Melissa Webb
• Vanessa Norman Weber, MSW, LCSW
• Western Connecticut Dental Arts
• Hsiao-Chun White
• Morgan Rae Wigglesworth, LCSW

• Optometrist in New Milford, CT
• Providers in New Milford, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.

Verify at the official NPI Registry.