Individual provider Active NPI

Martin Robert Shapiro, M.D.

  • Ophthalmology Physician
  • Milford, CT
National Provider Identifier
1306949383
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
024286 Issued in CT
Practice address
202 Cherry St
Milford, CT 06460-3502
Phone
(203) 878-1236
Fax
(203) 876-5196
NPI assigned
Sep 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 024286 CT Primary

Addresses

Primary practice location

202 Cherry St
Milford, CT 06460-3502

Mailing address

202 Cherry St
Milford, CT 06460-3502
Phone (203) 878-1236

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
I20100428000014 CT Practitioner - Ophthalmology 7012959000 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians & Surgeons, PC Ophthalmology Current Accepting new patients
Eye Physicians & Surgeons, PC Ophthalmology CurrentSince Jun 13, 1989 Accepting new patients
Eye Physicians & Surgeons, PC Ophthalmology CurrentSince Jun 13, 1989 Accepting new patients

Locations

202 Cherry St
Milford, CT 06460
Phone (203) 876-0545

Organizations & group practices 3

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306949383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 CHERRY ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603502",
            "telephone_number": "203-878-1236",
            "fax_number": "203-876-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 CHERRY ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603502",
            "telephone_number": "203-878-1236",
            "fax_number": "203-876-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "MARTIN",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "024286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.