David John Cosenza, OD
Individual provider Active NPI Optometrist · Shelton, CT
NPI 1306003256 · NPPES record last updated May 19, 2008
Key facts
- NPI
- 1306003256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 000782 (CT)
- Practice address
- 880 Bridgeport CT
Vision Center LTD
Shelton, CT 06484 - Phone
- (203) 929-4030
- NPI assigned
- May 19, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- New England College of Optometry, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Myeyedr Optometry of Connecticut LLC
Practice addresses (Care Compare)
145 Wakelee Ave
Ansonia, CT 06401-1176
Phone (203) 734-1686
1482 Post Rd
Fairfield, CT 06824-5911
Phone (203) 254-0055
877 Post Rd E
Westport, CT 06880-5242
Phone (203) 226-5585
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130404000006 | CT | Practitioner - Optometry | 2668617101 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000782 | CT | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B.E.K Eyecare, Inc | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of Connecticut, LLC | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of Connecticut, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Connecticut, LLC | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of Connecticut, LLC | Optometrist | Past | Accepting new patients |
| Vision Center, LTD | Optometrist | Past | Accepting new patients |
Locations
145 Wakelee Ave
Ansonia, CT 06401
Phone (203) 734-1686
1482 Post Rd
Fairfield, CT 06824
Phone (203) 254-0055
512 W Main St
Meriden, CT 06451
Phone (203) 235-2015
185 Boston Post Rd
Ste 13
Orange, CT 06477
Phone (203) 795-5000
87 Grandview Ave
Ste B
Waterbury, CT 06708
Phone (203) 465-1424
877 Post Rd E
Westport, CT 06880
Phone (203) 221-0545
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 000782 | CT | Yes |
Addresses
Primary practice location
880 Bridgeport CT
Vision Center LTD
Shelton, CT 06484
Mailing address
880 Bridgeport Ave
Vision Center LTD
Shelton, CT 06484
Phone (203) 929-4030
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000782 | Other | CT | STATE |
Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.