Audrey S Fung, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

002621 Issued in CT

Practice address

3600 E Main St
Waterbury, CT 06705-3851

Phone

(203) 596-0406

Fax

(203) 756-7316

NPI assigned

Aug 3, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wallingford Eye Care Center P.C.Group PAC ID 5193812733, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Wallingford Eye Care Center P.C.

  • Optometrist
  • Wallingford, CT
  • NPI 1053521419
  Medicare reassignment Care Compare group NPD
• Connecticut Vision Center, LLC

  • Optometrist
  • East Haven, CT
  • NPI 1942459615
  Medicare reassignment NPD

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277596800000",
    "number": "1083615850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 E MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053851",
            "telephone_number": "203-596-0406",
            "fax_number": "203-756-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 E MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053851",
            "telephone_number": "203-596-0406",
            "fax_number": "203-756-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG",
        "first_name": "AUDREY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2010-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004249951",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faige Friedland, MS CCC-SLP
• Inbar Carla Friedman, M.B.B.CH.B.
• Michael Lawrence Friedman, DDS
• Mary Patricia Frigiani, R.N. CADC
• Steven Frisch, LPC CT
• Ashleigh N Fusco
• Jessica Gaafar, MS
• Katie Lynn Moravec Gaenzler, COTA
• Rhonda Felicia-Ann Gagne, PA
• Magdy W Galal, MD

• Optometrist in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2010; 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.