Myeyedr Optometry of Connecticut, LLC
Organization Active NPI Optometrist · Madison, CT
NPI 1104290816 · NPPES record last updated May 23, 2022
Key facts
- NPI
- 1104290816
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- MYEYEDR OPTOMETRY OF CONNECTICUT, LLC
- Practice address
- 747 Boston Post Rd
Madison, CT 06443-3044 - Phone
- (203) 245-1492
- NPI assigned
- Nov 18, 2015
- Organization subpart
- No
Authorized official
- Name
- Sue Downes
- Title
- Secretary
- Phone
- (703) 847-8899
Other NPIs on the same Medicare enrollment 33
Practitioners 1
-
Gregory James Nigrelli, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160217001075 | CT | Part B Supplier - Clinic/Group Practice | 1557666237 |
Receives reassigned benefits from 126 practitioners 33 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Norwalk, CT; Orange, CT; Ridgefield, CT; Rocky Hill, CT; Shelton, CT; South Windsor, CT; Southbury, CT; Suffield, CT… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
747 Boston Post Rd
Madison, CT 06443-3044
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other names
- MyEyeDr.
Other providers in Madison, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.