Individual provider Active NPI

Omar S. Faridi, M.D.

  • Ophthalmology Physician
  • Milford, CT
National Provider Identifier
1437358900
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
050495 Issued in CT
Practice address
202 Cherry St
Milford, CT 06460-3502
Phone
(203) 878-1236
Fax
(203) 874-8838
NPI assigned
Jul 16, 2007
Last updated
Sep 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 050495 CT Primary

Addresses

Primary practice location

202 Cherry St
Milford, CT 06460-3502

Mailing address

202 Cherry St
Milford, CT 06460-3502
Phone (203) 878-1236

Other identifiers 1

IdentifierTypeStateIssuer
004068649MedicaidCT

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120627000686 CT Practitioner - Ophthalmology 3779753801 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Boston University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians and Surgeons, PCGroup PAC ID 9133161128, 11 clinicians
Cornell Scott Hill Health CorporationGroup PAC ID 3072418359, 261 clinicians

Practice addresses (Care Compare)

1236 Main St
Branford, CT 06405-3797
Phone (203) 488-5688

202 Cherry St
Milford, CT 06460-3502

202 Cherry St
Milford, CT 06460-3538
Phone (203) 878-1236

325 Boston Post Rd
Orange, CT 06477-3504
Phone (203) 795-0766

428 Columbus Ave
New Haven, CT 06519-1233
Phone (203) 503-3228

C/O Eye Physicians and Surgeons PC
202 Cherry Street
Milford, CT 06460-3502

Merit-based Incentive Payment System (MIPS)

Final score
23.23 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
050495CTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians & Surgeons, PC Ophthalmology Current Accepting new patients
Eye Physicians & Surgeons, PC Ophthalmology CurrentSince Jul 1, 2012 Accepting new patients
Eye Physicians & Surgeons, PC Ophthalmology CurrentSince Jul 1, 2012 Accepting new patients
Cornell Scott Hill Health Corporation CurrentSince May 1, 2014 Accepting new patients

Locations

1236 Main St
Branford, CT 06405
Phone (203) 488-5688

202 Cherry St
Milford, CT 06460
Phone (203) 876-0545

400 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3174

428 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3228

325 Boston Post Rd
Ste 1A
Orange, CT 06477
Phone (203) 795-0766

2 Trap Falls Rd
Ste 104
Shelton, CT 06484
Phone (203) 944-0464

215 Main St
Westport, CT 06880
Phone (203) 221-8600

Organizations & group practices 4

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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1437358900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 CHERRY ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603502",
            "telephone_number": "203-878-1236",
            "fax_number": "203-874-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 CHERRY ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603502",
            "telephone_number": "203-878-1236",
            "fax_number": "203-874-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIDI",
        "first_name": "OMAR",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "050495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004068649",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.