Individual provider Active NPI

Sheri M. Sparks, OD

  • Optometrist
  • Bloomfield, CT
National Provider Identifier
1417265372
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2649 Issued in CT
Practice address
4 Northwestern Dr Ste 400
Bloomfield, CT 06002-3444
Phone
(860) 243-2020
Fax
(860) 243-5190
NPI assigned
Sep 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 3975 MA
Corneal and Contact Management Optometrist 152WC0802X 002649 CT
Optometrist 152W00000X 2649 CT Primary

Addresses

Primary practice location

4 Northwestern Dr Ste 400
Bloomfield, CT 06002-3444

Mailing address

530 Bushy Hill Rd
Suite 150
Simsbury, CT 06070-2995
Phone (860) 651-3403

Other practice location 1

1080 Day Hill Rd
Windsor, CT 06095-1781
Phone (860) 688-1549

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
I20110613000467 CT Practitioner - Optometry 8426235813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moore Eye Care LLCGroup PAC ID 0547152530, 3 clinicians
Myeyedr Optometry of Connecticut LLCGroup PAC ID 1557666237, 70 clinicians

Practice addresses (Care Compare)

683 Broad St
Bristol, CT 06010-6694
Phone (860) 583-2020

811 E Main St
Torrington, CT 06790-3930
Phone (860) 496-8668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2649CTMDOptometrist
3975MAMDCorneal and Contact Management Optometrist
002649CTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Eye Care Center, PC CurrentSince Mar 2, 2018 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist CurrentSince Nov 1, 2022 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist Current Accepting new patients
Moore Eye Care LLC Optometrist CurrentSince Jan 6, 2026 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist CurrentSince Nov 1, 2022 Accepting new patients
Optometric Specialty Group Limited Liability Company Optometrist PastSince May 1, 2022 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist Past Accepting new patients

Locations

145 Wakelee Ave
Ansonia, CT 06401
Phone (203) 734-1686

4 Northwestern Dr
Bloomfield, CT 06002
Phone (860) 243-2969

4 Northwestern Dr
Ste 400
Bloomfield, CT 06002
Phone (860) 243-2020

683 Broad St
Bristol, CT 06010
Phone (860) 583-2020

1785 Highland Ave
Cheshire, CT 06410
Phone (203) 271-2020

811 E Main St
Torrington, CT 06790
Phone (860) 482-2992

1249 W Main St
Ste 1
Waterbury, CT 06708
Phone (203) 805-7022

1080 Day Hill Rd
Windsor, CT 06095
Phone (860) 298-8442

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1417265372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 BUSHY HILL RD",
            "address_2": "SUITE 150",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060702995",
            "telephone_number": "860-651-3403",
            "fax_number": "860-651-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NORTHWESTERN DR STE 400",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023444",
            "telephone_number": "860-243-2020",
            "fax_number": "860-243-5190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1080 Day Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "CT",
            "postal_code": "060951781",
            "country_code": "US",
            "telephone_number": "860-688-1549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "SHERI",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MA",
            "license": "3975",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CT",
            "license": "002649",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.