Individual provider Active NPI

Thomas Eng, O.D.

  • Optometrist
  • Milford, CT
National Provider Identifier
1063518173
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2117 Issued in CT
Practice address
Dr Thomas Eng
1330 Boston Post Road
Milford, CT 06460-2711
Phone
(203) 877-6893
Fax
(203) 877-9139
NPI assigned
Sep 15, 2006
Last updated
Jan 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2117 CT Primary

Addresses

Primary practice location

Dr Thomas Eng
1330 Boston Post Road
Milford, CT 06460-2711

Mailing address

2844 Reservoir Ave
Trumbull, CT 06611-4507
Phone (203) 767-6328

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
I20070606000627 CT Practitioner - Optometry 8921106402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2117CTMDChiropractor
002117CTMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PTC Optical Inc. PastSince Jan 26, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1063518173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2844 RESERVOIR AVE",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114507",
            "telephone_number": "203-767-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DR THOMAS ENG",
            "address_2": "1330 BOSTON POST ROAD",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064602711",
            "telephone_number": "203-877-6893",
            "fax_number": "203-877-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENG",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.