Individual provider Active NPI

Justine Elizabeth McGeary, OD

  • Optometrist
  • Ridgefield, CT
National Provider Identifier
1073286340
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3234 Issued in CT
Practice address
125 Danbury Rd Ste 8
Ridgefield, CT 06877-4111
Phone
(203) 438-5005
Fax
(203) 438-8403
NPI assigned
Jul 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV009403 NY
Optometrist 152W00000X 3234 CT Primary

Addresses

Primary practice location

125 Danbury Rd Ste 8
Ridgefield, CT 06877-4111

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211112001203 CT Practitioner - Optometry 5890184881 Reassigns benefits to 1 organization
I20211201002318 NY Practitioner - Optometry 5890184881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2021
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)

125 Danbury Rd
Suite 8
Ridgefield, CT 06877-4111
Phone (203) 438-5005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV009403NYMDOptometrist
009403NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
200 West Optics, LLC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
200 West Optics, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
200 West Optics, LLC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist Past Accepting new patients

Locations

145 Wakelee Ave
Ansonia, CT 06401
Phone (203) 734-1686

65 North St
Danbury, CT 06810
Phone (203) 790-9030

125 Danbury Rd
Ste 8
Ridgefield, CT 06877
Phone (203) 438-5005

20 Milltown Rd
Ste 201
Brewster, NY 10509
Phone (845) 279-6179

1765 Central Park Ave
Yonkers, NY 10710
Phone (914) 961-1004

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 7

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": "1627689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1073286340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 DANBURY RD STE 8",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774111",
            "telephone_number": "203-438-5005",
            "fax_number": "203-438-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGEARY",
        "first_name": "JUSTINE",
        "middle_name": "ELIZABETH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-31",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009403",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

Verify at the official NPI Registry.