Organization Active NPI

Cesar a Sierra MD LLC

  • Ophthalmology Physician
  • Westport, CT
National Provider Identifier
1073702338
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
040323 Issued in CT
Legal business name
CESAR A SIERRA MD LLC
Practice address
125 Kings Hwy N Ste B
Westport, CT 06880-2428
Phone
(203) 226-1696
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Authorized official

Name
Dr. Cesar Sierra, MDNPI 1902997240
Title
Owner
Phone
(203) 226-1696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 040323 CT Primary

Addresses

Primary practice location

125 Kings Hwy N Ste B
Westport, CT 06880-2428

Mailing address

125 Kings Hwy N Ste B
Westport, CT 06880-2428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060314000734 CT Part B Supplier - Clinic/Group Practice 5395752463 Receives reassigned benefits from 1 practitioner
Practice locations: Westport, CT

National Provider Directory

National Provider Directory

Locations

125 Kings Hwy N
Ste B
Westport, CT 06880
Phone (203) 226-1696

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1073702338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 KINGS HWY N STE B",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 KINGS HWY N STE B",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802428",
            "telephone_number": "203-226-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CESAR A SIERRA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "SIERRA",
        "authorized_official_first_name": "CESAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-226-1696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "040323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.