Active NPI
Raphael John Capasso, O.D.
- Optometrist
- Trumbull, CT
National Provider Identifier
1447321146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 000890
- Practice address
- 100 Hawley LN
Trumbull, CT 06611-5330 - Phone
- (203) 378-9462
- Fax
- (203) 378-9462
- NPI assigned
- Nov 13, 2006
- Last updated
- Jul 30, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 000890 | CT | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 000890 | CT |
Addresses
Primary practice location
100 Hawley LN
Trumbull, CT 06611-5330
Mailing address
100 Hawley LN
Trumbull, CT 06611-5330
Phone (203) 378-9462
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optics by DSMB, Inc | Optometrist | Past | Accepting new patients |
| Hawley Lane Opticians | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optician
- Trumbull, CT
- NPI 1801840723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343606400000",
"number": "1447321146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HAWLEY LN",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066115330",
"telephone_number": "203-378-9462",
"fax_number": "203-378-9462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HAWLEY LN",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066115330",
"telephone_number": "203-378-9462",
"fax_number": "203-378-9462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPASSO",
"first_name": "RAPHAEL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2012-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "000890",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CT",
"license": "000890",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.