Active NPI
Marcio Marc Abreu, M.D.
- Ophthalmology Physician
- Bridgeport, CT
National Provider Identifier
1366721995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 42521
- Practice address
- 250 Myrtle Ave
Bridgeport, CT 06604-7762 - Phone
- (203) 870-9611
- Fax
- (203) 870-9613
- NPI assigned
- Aug 13, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 42521 | CT | Primary |
Addresses
Primary practice location
250 Myrtle Ave
Bridgeport, CT 06604-7762
Mailing address
250 Myrtle Ave
Bridgeport, CT 06604-7762
Phone (203) 870-9611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42521 | CT | MD | Ophthalmology Physician |
Interoperability endpoints
- marcio.abreu.1@21488.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313193600000",
"number": "1366721995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 MYRTLE AVE",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066047762",
"telephone_number": "203-870-9611",
"fax_number": "203-870-9613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 MYRTLE AVE",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066047762",
"telephone_number": "203-870-9611",
"fax_number": "203-870-9613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABREU",
"first_name": "MARCIO",
"middle_name": "MARC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-13",
"last_updated": "2011-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CT",
"license": "42521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.