Joseph S. Madrak, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002692 Issued in CT

Practice address

7 Riverside Dr
# 4
Shelton, CT 06484-8164

Phone

(203) 924-2175

Fax

(203) 924-9232

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

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

State University of New York - State College Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Joseph S Madrak OD LLCGroup PAC ID 6002117827, 3 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.

• Dr Joseph S Madrak OD LLC

  • Optometrist
  • Shelton, CT
  • NPI 1417328139
  Medicare reassignment Care Compare group NPD Authorized official
• Eye Disease Consultants, LLC

  • Ophthalmology Physician
  • West Hartford, CT
  • NPI 1487621819

  Optometrist

  NPD (past)
• Prohealth Physicians PC

  • Family Medicine Physician
  • Farmington, CT
  • NPI 1720194053
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1336112770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 RIVERSIDE DR",
            "address_2": "# 4",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064848164",
            "telephone_number": "203-924-2175",
            "fax_number": "203-924-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 RIVERSIDE DR",
            "address_2": "# 4",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064848164",
            "telephone_number": "203-924-2175",
            "fax_number": "203-924-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRAK",
        "first_name": "JOSEPH",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006965-1",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CT",
            "license": "002692",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CT",
            "license": "002692",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CT",
            "license": "002692",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008035624",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret M Lux Drury, MA,PT
• Maura C Lyddy, D.C.
• Taneeka Chantia Patreece Lyles
• Shanae Monique Lynch, LCSW
• Kaitlyn A Lyver, PA-C
• Carla Maffeo-Mitchell, M.D.
• Kristen H Magner, PA-C
• Russell L Maiese, MD
• Angela Maione Seznec
• Youseph Makkawi

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.