Individual provider Active NPI

Harneet Dhillon McDermott, O.D.

  • Optometrist
  • Avon, CT
National Provider Identifier
1174810485
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002833 Issued in CT
Practice address
43 W Main St
Avon, CT 06001-4219
Phone
(860) 676-2376
NPI assigned
Jul 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002833 CT Primary

Addresses

Primary practice location

43 W Main St
Avon, CT 06001-4219

Mailing address

43 W Main St
Avon, CT 06001-4219
Phone (860) 676-2376

Other names 1

  • Harneet Dhillon 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
I20111017000588 CT Practitioner - Optometry 7810169877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avon Eye Care LLCGroup PAC ID 2769791748, 3 clinicians

Practice addresses (Care Compare)

43 W Main St
Avon, CT 06001-4219

49 W Main St
Suite 1
Avon, CT 06001-7301
Phone (860) 676-2376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002833CTMDOptometrist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1174810485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 W MAIN ST",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014219",
            "telephone_number": "860-676-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 W MAIN ST",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014219",
            "telephone_number": "860-676-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "HARNEET",
        "middle_name": "DHILLON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARNEET",
            "last_name": "DHILLON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Avon, CT

Sources for this page

Verify at the official NPI Registry.