Individual provider Active NPI

Annette Rosemarie Hoo, O.D.

  • Optometrist
  • Bridgeport, CT
National Provider Identifier
1285783670
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002291 Issued in CT
Practice address
192 Fairfield Ave
Bridgeport, CT 06604-4205
Phone
(203) 366-7504
Fax
(203) 366-5302
NPI assigned
Jan 9, 2007
Last updated
Aug 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002291 CT Primary

Addresses

Primary practice location

192 Fairfield Ave
Bridgeport, CT 06604-4205

Mailing address

192 Fairfield Avenue
Bridgeport, CT 06604
Phone (203) 366-7504

Other identifiers 1

IdentifierTypeStateIssuer
004119188MedicaidCT

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
I20100311000181 CT Practitioner - Optometry 1052456308 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Connecticut Professional PLLCGroup PAC ID 1658713797, 12 clinicians

Practice addresses (Care Compare)

2160 Main St
Bridgeport, CT 06606-5312
Phone (203) 366-7504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002291CTMDInternist Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Connecticut Professional PLLC Optometrist CurrentSince Apr 19, 2025 Accepting new patients
Doctors Frankel and Hoo, LLC Optometrist CurrentSince Jan 14, 1992 Accepting new patients
Bridgeport Community Pharmacy LLC Past Accepting new patients
Philip M Perrino P.C. Optometrist Past Accepting new patients

Locations

192 Fairfield Ave
Bridgeport, CT 06604
Phone (203) 330-9191

2160 Main St
Bridgeport, CT 06606
Phone (203) 366-7504

2160 Main St
Ste 1A
Bridgeport, CT 06606

815 Chapel St
New Haven, CT 06510
Phone (203) 644-0038

Organizations & group practices 4

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1285783670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 FAIRFIELD AVENUE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06604",
            "telephone_number": "203-366-7504",
            "fax_number": "203-366-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 FAIRFIELD AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044205",
            "telephone_number": "203-366-7504",
            "fax_number": "203-366-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOO",
        "first_name": "ANNETTE",
        "middle_name": "ROSEMARIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004119188",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.