Active NPI
Maha Ramamurthy, O.D., M.S.
- Optometrist
- Wethersfield, CT
National Provider Identifier
1154492718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2672
- Practice address
- 67 Wells Rd
Wethersfield, CT 06109-3043 - Phone
- (860) 529-5429
- Fax
- (860) 563-5202
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | CT2672 | CT | |
| Corneal and Contact Management Optometrist | 152WC0802X | 2672 | CT | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 2672 | CT | |
| Pediatric Optometrist | 152WP0200X | 2672 | CT | |
| Sports Vision Optometrist | 152WS0006X | 2672 | CT | |
| Vision Therapy Optometrist | 152WV0400X | 2672 | CT | |
| Optometrist | 152W00000X | 2672 | CT | Primary |
Addresses
Primary practice location
67 Wells Rd
Wethersfield, CT 06109-3043
Mailing address
67 Wells Rd
Wethersfield, CT 06109-3043
Phone (860) 529-5429
Other practice location 1
140 Kane St
Unit A2
West Hartford, CT 06119-2197
Phone (860) 231-9091
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
67 Wells Rd
Wethersfield, CT 06109-3043
Phone (860) 529-5429
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CT2672 | CT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Advanced Eyecare LLC | Optometrist | Current | Accepting new patients |
| Jerome Glazer OD | Optometrist | Past | Accepting new patients |
Locations
67 Wells Rd
Wethersfield, CT 06109
Phone (860) 529-5429
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.
-
- Optometrist
- Wethersfield, CT
- NPI 1427383579
-
- Optometrist
- Wethersfield, CT
- NPI 1265618169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1154492718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 WELLS RD",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061093043",
"telephone_number": "860-529-5429",
"fax_number": "860-563-5202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 WELLS RD",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061093043",
"telephone_number": "860-529-5429",
"fax_number": "860-563-5202"
}
],
"practiceLocations": [
{
"address_1": "140 Kane St",
"address_2": "Unit A2",
"address_purpose": "LOCATION",
"city": "West Hartford",
"state": "CT",
"postal_code": "061192197",
"country_code": "US",
"telephone_number": "860-231-9091",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAMAMURTHY",
"first_name": "MAHA",
"name_prefix": "Dr.",
"credential": "O.D., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "CT2672",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CT",
"license": "2672",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "CT",
"license": "2672",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "CT",
"license": "2672",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "CT",
"license": "2672",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "CT",
"license": "2672",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "2672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wethersfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.