Michael T Woronick, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

001032 Issued in CT

Practice address

277 White St
Danbury, CT 06810-6934

Phone

(203) 748-7393

Fax

(203) 743-2825

NPI assigned

Sep 20, 2005

Reactivated

Apr 6, 2006

Last updated

Oct 1, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Michael T. Woronick, LLC

  • Optometrist
  • Danbury, CT
  • NPI 1265602437
  Authorized official Same address or phone
• Korab Spahiu, OD, LLC

  dba Klear Sight Eyecare Center

  • Optometrist
  • Danbury, CT
  • NPI 1629713466
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1114912789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 WHITE ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106934",
            "telephone_number": "203-748-7393",
            "fax_number": "203-743-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 WHITE ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106934",
            "telephone_number": "203-748-7393",
            "fax_number": "203-743-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORONICK",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2008-10-01",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "001032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004062048",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessie Wuiyi Wong, M.A, BCBA, LBA
• Jennifer Hogan Wood, M.D.
• Benjamin Andrew Woodhouse, PA-C
• Thomas Dale Worden, D.C.
• World Support Source Inc
• Michelene Wray, APRN
• Obrian Wright, B.B.A., P.T.A.
• Michelle Wu
• Stephen Wu, MD
• Heather M Wustrau, PHYSICAL THERAPIST

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.