Individual provider Active NPI

David John Cosenza, OD

  • Optometrist
  • Shelton, CT
National Provider Identifier
1306003256
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
000782 Issued in CT
Practice address
880 Bridgeport CT
Vision Center LTD
Shelton, CT 06484
Phone
(203) 929-4030
NPI assigned
May 19, 2008
Last updated
May 19, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 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 000782 CT Primary

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

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
I20130404000006 CT Practitioner - Optometry 2668617101 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
782CTMDAddiction (Substance Use Disorder) Counselor
000782CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Connecticut, LLC Optometrist CurrentSince Sep 1, 2024 Accepting new patients
B.E.K Eyecare, Inc Optometrist CurrentSince Mar 12, 2013 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist CurrentSince Sep 1, 2024 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist Past Accepting new patients
Vision Center, LTD Optometrist Past Accepting new patients
Myeyedr Optometry of Connecticut, LLC 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

Organizations & group practices 7

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": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1306003256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 BRIDGEPORT AVE",
            "address_2": "VISION CENTER LTD",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "06484",
            "telephone_number": "203-929-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 BRIDGEPORT CT",
            "address_2": "VISION CENTER LTD",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "06484",
            "telephone_number": "203-929-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSENZA",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "000782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.