Individual provider Active NPI

Carol A. Stabile, M.D.

  • Ophthalmology Physician
  • Manchester, CT
National Provider Identifier
1265467971
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
030763 Issued in CT
Practice address
732 Main St
Manchester, CT 06040-5106
Phone
(860) 649-5177
Fax
(860) 643-4901
NPI assigned
Jul 11, 2006
Last updated
Feb 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 030763 CT Primary

Addresses

Primary practice location

732 Main St
Manchester, CT 06040-5106

Mailing address

732 Main St
Manchester, CT 06040-5106
Phone (860) 649-5177

Other identifiers 2

IdentifierTypeStateIssuer
001307637MedicaidCT
1265467971MedicaidCT

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100317000971 CT Practitioner - Ophthalmology 9436284361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

732 Main St
Manchester, CT 06040-5106
Phone (860) 649-5177

Merit-based Incentive Payment System (MIPS)

Final score
85.94 of 100Reported as group
Quality
89.64
Promoting interoperability
95
Improvement activities
40
Cost
67.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Refocus Eye Health of Central Connecticut, P.C. Ophthalmology CurrentSince Mar 1, 2022 Accepting new patients
Refocus Eye Health of Central Connecticut, P.C. Ophthalmology CurrentSince Mar 1, 2022 Accepting new patients

Locations

47 Jolley Dr
Bloomfield, CT 06002
Phone (860) 243-3020

732 Main St
Manchester, CT 06040
Phone (860) 649-5177

87 Grandview Ave
Ste B
Waterbury, CT 06708
Phone (203) 465-1424

Interoperability endpoints

  • Direct secure messaging: cstabile@refocus.intellechartdirect.net

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1265467971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405106",
            "telephone_number": "860-649-5177",
            "fax_number": "860-643-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405106",
            "telephone_number": "860-649-5177",
            "fax_number": "860-643-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STABILE",
        "first_name": "CAROL",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "030763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001307637",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265467971",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.