Active NPI
Robert Demayo, DO
- Optometrist
- Hamden, CT
National Provider Identifier
1376066019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 705
- Practice address
- 2100 Dixwell Ave
Hamden, CT 06514-2406 - Phone
- (203) 281-4330
- Fax
- (203) 288-4018
- NPI assigned
- Jul 25, 2017
- Last updated
- Jul 21, 2022
- 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 | 705 | CT | Primary |
Addresses
Primary practice location
2100 Dixwell Ave
Hamden, CT 06514-2406
Mailing address
2100 Dixwell Ave
Hamden, CT 06514-2406
Phone (203) 281-4330
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 705 | CT | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1376066019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 DIXWELL AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065142406",
"telephone_number": "203-281-4330",
"fax_number": "203-288-4018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 DIXWELL AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065142406",
"telephone_number": "203-281-4330",
"fax_number": "203-288-4018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMAYO",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.