Individual provider Active NPI

Danielle Jaclyn Feder, OD

  • Optometrist
  • Norwalk, CT
National Provider Identifier
1083138192
Registry record updated Jul 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3048 Issued in CT
Practice address
5 Eversley Ave
Norwalk, CT 06851-5821
Phone
(203) 853-1010
NPI assigned
Jul 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8671 NY
Optometrist 152W00000X 3048 CT Primary

Addresses

Primary practice location

5 Eversley Ave
Norwalk, CT 06851-5821

Mailing address

5 Eversley Ave
Norwalk, CT 06851-5821

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
I20171002000246 CT Practitioner - Optometry 2668747668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Norwalk Eye Care LLCGroup PAC ID 3577613587, 5 clinicians

Practice addresses (Care Compare)

5 Eversley Ave
Suite 301
Norwalk, CT 06851-5821
Phone (203) 853-1010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3048CTMDOptometrist
8671NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Norwalk Eye Care LLC Optometrist CurrentSince Aug 16, 2017 Accepting new patients

Locations

5 Eversley Ave
Norwalk, CT 06851
Phone (203) 246-9073

5 Eversley Ave
Ste 301
Norwalk, CT 06851
Phone (203) 853-1010

Organizations & group practices 1

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": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501459200000",
    "number": "1083138192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EVERSLEY AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EVERSLEY AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515821",
            "telephone_number": "203-853-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDER",
        "first_name": "DANIELLE",
        "middle_name": "JACLYN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2017-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "8671",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.