Individual provider Active NPI

Anthony Rao, O.D.

  • Corneal and Contact Management Optometrist
  • Trumbull, CT
National Provider Identifier
1316013766
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
2275 Issued in CT
Practice address
5065 Main St
Eye Group, LLC
Trumbull, CT 06611-4204
Phone
(203) 374-3403
Fax
(203) 374-3271
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
Yes

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
Corneal and Contact Management Optometrist 152WC0802X 2275 CT Primary

Addresses

Primary practice location

5065 Main St
Eye Group, LLC
Trumbull, CT 06611-4204

Mailing address

325 Sorghum Mill Dr
Cheshire, CT 06410-3048
Phone (203) 250-7806

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
I20070320000441 CT Practitioner - Optometry 2466555040 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Bright Eyes LLCGroup PAC ID 4789026709, 3 clinicians

Practice addresses (Care Compare)

88 Noble Ave
Suite 105
Milford, CT 06460-4738
Phone (203) 693-7333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2275CTMDOccupational Therapy Assistant
002275CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Group, LLC Current Accepting new patients
Eye Group, LLC Current Accepting new patients
Bright Eyes LLC CurrentSince Sep 24, 2025 Accepting new patients
The Connecticut Dermatology Group PLLC PastSince Sep 24, 2025 Accepting new patients

Locations

88 Noble Ave
Ste 105
Milford, CT 06460
Phone (203) 693-7333

5065 Main St
Trumbull, CT 06611
Phone (203) 372-3349

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316013766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 SORGHUM MILL DR",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103048",
            "telephone_number": "203-250-7806",
            "fax_number": "203-374-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5065 MAIN ST",
            "address_2": "EYE GROUP, LLC",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114204",
            "telephone_number": "203-374-3403",
            "fax_number": "203-374-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "ANTHONY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CT",
            "license": "2275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

Verify at the official NPI Registry.