Individual provider Active NPI

Allise Lauren Markowski, O.D.

  • Optometrist
  • West Hartford, CT
National Provider Identifier
1396185021
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2881 Issued in CT
Practice address
612B Quaker LN S
West Hartford, CT 06110-1027
Phone
(860) 236-1218
NPI assigned
Jun 26, 2013
Last updated
Jun 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2881 CT Primary

Addresses

Primary practice location

612B Quaker LN S
West Hartford, CT 06110-1027

Mailing address

612B Quaker LN S
West Hartford, CT 06110-1027
Phone (860) 236-1218

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
I20131125000015 CT Practitioner - Optometry 2365678232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Vision Associates LLCGroup PAC ID 1254765498, 2 clinicians

Practice addresses (Care Compare)

230 B Mountain Rd
Suffield, CT 06078-2094
Phone (860) 386-5159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Vision Associates LLC Optometrist CurrentSince Jan 1, 2020 Accepting new patients

Locations

230B Mountain Rd
Suffield, CT 06078
Phone (413) 454-5006

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1396185021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612B QUAKER LN S",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101027",
            "telephone_number": "860-236-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612B QUAKER LN S",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101027",
            "telephone_number": "860-236-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOWSKI",
        "first_name": "ALLISE",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.