Individual provider Active NPI

Grace Meram, O.D.

  • Optometrist
  • Danbury, CT
National Provider Identifier
1104268267
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3240 Issued in CT
Practice address
67 Newtown Rd Ste 10
Danbury, CT 06810-6238
Phone
(203) 546-5116
NPI assigned
Jul 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005073 MI
Optometrist 152W00000X 14717 CA
Optometrist 152W00000X 3240 CT Primary

Addresses

Primary practice location

67 Newtown Rd Ste 10
Danbury, CT 06810-6238

Mailing address

67 Newtown Rd Ste 10
Danbury, CT 06810-6238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005073MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
National Vision Inc Optometrist CurrentSince Apr 10, 2022 Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Warby Parker Inc. PastSince Dec 1, 2019 Accepting new patients

Locations

67 Newtown Rd
Ste 10
Danbury, CT 06810
Phone (203) 546-5116

Organizations & group practices 3

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": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1104268267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 NEWTOWN RD STE 10",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 NEWTOWN RD STE 10",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106238",
            "telephone_number": "203-546-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERAM",
        "first_name": "GRACE",
        "name_prefix": "Miss",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005073",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14717",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.