Jason Edward Cavanaugh, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

CT2520 Issued in CT

Practice address

180 River Rd
Lisbon, CT 06351

Phone

(860) 376-8431

Fax

(860) 376-8851

NPI assigned

Dec 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

New England College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Refocus Eye Health of Central Connecticut PCGroup PAC ID 5597176834, 38 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.94 of 100Reported as group

Quality

89.64

Promoting interoperability

95

Improvement activities

40

Cost

67.65

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jcavanaugh@refocus.intellechartdirect.net

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.

• Refocus Eye Health of Central Connecticut, P.C.

  • Ophthalmology Physician
  • Waterbury, CT
  • NPI 1548874936

  CT, Optometrist

  Medicare reassignment Care Compare group NPD
• Refocus Eye Health of Central Connecticut, P.C.

  • Eyewear Supplier
  • Waterbury, CT
  • NPI 1689459471

  Optometrist

  Care Compare group NPD
• Refocus Eye Health of Central Connecticut PC

  • Eyewear Supplier
  • Meriden, CT
  • NPI 1053083253
  Care Compare group
• Refocus Eye Health of Central Connecticut PC

  • Eyewear Supplier
  • Cheshire, CT
  • NPI 1609548809
  Care Compare group

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124183660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 DICKINSON RD",
            "city": "S GLASTONBURY",
            "state": "CT",
            "postal_code": "06073",
            "telephone_number": "860-376-8431",
            "fax_number": "860-376-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 RIVER RD",
            "city": "LISBON",
            "state": "CT",
            "postal_code": "06351",
            "telephone_number": "860-376-8431",
            "fax_number": "860-376-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "JASON",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "CT2520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Armstrong
• Christian-Adebayo Ayeni
• Bert Coppotelli MD LLC
• Thomas Edward Burke
• Sherry R Catania, DMD
• Gurpreet Kaur Chandi, DDS
• Elda Cone
• Connecticut CVS Pharmacy LLC
• Bert Anthony Coppotelli, MD
• Molly Davis, PHARMD

• All providers in Lisbon, CT
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.