Active NPI
Daniel Thomas Fitzpatrick, OD
- Optometrist
- Avon, CT
National Provider Identifier
1366483372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 849
- Practice address
- 40 Avon Meadow Lane
Avon, CT 06001-3753 - Phone
- (860) 677-6444
- Fax
- (860) 677-4836
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 849 | CT | Primary |
Addresses
Primary practice location
40 Avon Meadow Lane
Avon, CT 06001-3753
Mailing address
40 Avon Meadow Lane
Avon, CT 06001-3753
Phone (860) 677-6444
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
40 Avon Meadow LN
Avon, CT 06001-3753
Phone (860) 677-6444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 849 | CT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avon Eye Associates LLC | Optometrist | Current | Accepting new patients |
Locations
40 Avon Meadow Ln
Avon, CT 06001
Phone (860) 677-6444
Interoperability endpoints
- danf@avonvision.eyefinitydirect.com
Organizations & group practices 1
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.
-
- Optometrist
- Avon, CT
- NPI 1962162701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423094400000",
"number": "1366483372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 AVON MEADOW LANE",
"city": "AVON",
"state": "CT",
"postal_code": "060013753",
"telephone_number": "860-677-6444",
"fax_number": "860-677-4836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 AVON MEADOW LANE",
"city": "AVON",
"state": "CT",
"postal_code": "060013753",
"telephone_number": "860-677-6444",
"fax_number": "860-677-4836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZPATRICK",
"first_name": "DANIEL",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2015-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.