Active NPI
Bridget Garrity Bortz, O.D.
- Optometrist
- Enfield, CT
National Provider Identifier
1124474523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 002953
- Practice address
- 149 Hazard Ave
Enfield, CT 06082-4521 - Phone
- (860) 749-0757
- NPI assigned
- May 4, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Optician
- Manchester, CT
- NPI 1053591214
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10 E St
Suite B
East Granby, CT 06026-1400
Phone (860) 650-0040
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160803000561 | CT | Practitioner - Optometry | 5092009779 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2953 | CT | MD | Professional Counselor |
| 002953 | CT | MD | Speech-Language Pathologist |
| 5094 | MA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchor Eye Center LLC | Optometrist | Current | Accepting new patients |
| Richard a Fichman MD PC | Past | Accepting new patients |
Locations
10 East St
Ste B
East Granby, CT 06026
Phone (860) 650-0040
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 002953 | CT | Primary |
| Optometrist | 152W00000X | 5094 | MA |
Addresses
NPPES NPI RegistryPrimary practice location
149 Hazard Ave
Enfield, CT 06082-4521
Mailing address
149 Hazard Ave
Enfield, CT 06082-4521
Other names 1
NPPES NPI Registry- Dr. Bridget Heidi Garrity
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 16, 2016.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473984000000",
"number": "1124474523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 HAZARD AVE",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060824521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 HAZARD AVE",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060824521",
"telephone_number": "860-749-0757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORTZ",
"first_name": "BRIDGET",
"middle_name": "GARRITY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-04",
"last_updated": "2016-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "002953",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "5094",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRIDGET",
"last_name": "GARRITY",
"middle_name": "HEIDI",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Enfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.