Individual provider Active NPI

Bridget Garrity Bortz, O.D.

  • Optometrist
  • Enfield, CT
National Provider Identifier
1124474523
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002953 Issued in CT
Practice address
149 Hazard Ave
Enfield, CT 06082-4521
Phone
(860) 749-0757
NPI assigned
May 4, 2016
Last updated
Sep 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002953 CT Primary
Optometrist 152W00000X 5094 MA

Addresses

Primary practice location

149 Hazard Ave
Enfield, CT 06082-4521

Mailing address

149 Hazard Ave
Enfield, CT 06082-4521

Other names 1

  • Dr. Bridget Heidi Garrity Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160803000561 CT Practitioner - Optometry 5092009779 Reassigns benefits to 1 organization

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002953CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Eye Center LLC Optometrist CurrentSince May 16, 2022 Accepting new patients
Richard a Fichman MD PC PastSince Aug 8, 2016 Accepting new patients

Locations

10 East St
Ste B
East Granby, CT 06026
Phone (860) 650-0040

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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

Verify at the official NPI Registry.