Michael John Berzansky, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3231 Issued in CT

Practice address

175 Main St South, Ste 2
PO Box 384
Woodbury, CT 06798

Phone

(203) 263-3391

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

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

Pennsylvania College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tribury Eye CareGroup PAC ID 3375938608, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tribury Eye Care

  • Optometrist
  • Woodbury, CT
  • NPI 1457010688

  CT, Optometrist

  Medicare reassignment Care Compare group NPD
• Kenneth L. Burke, O.D.

  • Eyewear Supplier
  • Woodbury, CT
  • NPI 1659543031
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1164562682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MAIN ST SOUTH, STE 2",
            "address_2": "PO BOX 384",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "06798",
            "telephone_number": "203-263-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MAIN ST SOUTH, STE 2",
            "address_2": "PO BOX 384",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "06798",
            "telephone_number": "203-263-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERZANSKY",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "0EG001877",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007216",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1812",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lance Eric Banwell, DDS
• Jordan David Barnard
• James Saar Bauer, DMD
• Bavaro Chiropractic Center, LLC
• Karen Bavaro Lawlor, DC DACAN
• Alexandria Bierce
• Birch Psychology LLC
• Alison Birks, LDN
• Blackwell Dental PLLC
• Andrew Nicholas Blackwell, D.M.D.

• All providers in Woodbury, CT
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.