Sidet Sou, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002732 Issued in CT

Practice address

1482 Post Rd
Fairfield, CT 06824-5911

Phone

(203) 254-0055

Fax

(203) 256-1284

NPI assigned

Dec 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

New England College of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Connecticut LLCGroup PAC ID 1557666237, 70 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.

• Myeyedr Optometry of Connecticut, LLC

  dba MyEyeDr.

  • Optometrist
  • Ansonia, CT
  • NPI 1396119194
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Connecticut, LLC

  dba MyEyeDr.

  • Optometrist
  • Westport, CT
  • NPI 1598139222
  NPD
• Myeyedr Optometry of Connecticut, LLC

  dba MyEyeDr.

  • Optometrist
  • Vernon, CT
  • NPI 1992207468
  NPD
• Myeyedr Optometry of Connecticut, LLC

  dba MyEyeDr.

  • Optometrist
  • Greenwich, CT
  • NPI 1639902711
  NPD (past)

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1285818724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1482 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245911",
            "telephone_number": "203-254-0055",
            "fax_number": "203-256-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOU",
        "first_name": "SIDET",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia V. Leonida, MD PC (Stationhouse Pediatrics)
• Imelda G Soriano-Taylor, D.D.S.
• Heidi Sormaz, PH.D.
• Sostilio Eye Care LLC (Modern Focus Optometry)
• Nicholas Ernest Sostilio, OD
• Soulcare Physical Therapy,LLC
• Southern Connecticut Christian Counseling Center (Renew Counseling Associates)
• Southport Chiropractic Office, P.C.
• Fiore F Soviero, PA
• Sparkle Wellness, LLC (Marsha Polanco, LCSW)

• Optometrist in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.