Active NPI
Richard J Nason, O.D
- Optometrist
- Cromwell, CT
National Provider Identifier
1447400882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 002707
- Practice address
- 161 Berlin Rd
Vision Center
Cromwell, CT 06416-1021 - Phone
- (860) 635-5801
- Fax
- (860) 635-6165
- NPI assigned
- Sep 23, 2008
- 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 | 002707 | CT | Primary |
Addresses
Primary practice location
161 Berlin Rd
Vision Center
Cromwell, CT 06416-1021
Mailing address
14 Highland St
Guilford, CT 06437-3514
Phone (203) 141-1610
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141208001196 | CT | Practitioner - Optometry | 8820310584 | Practice locations: Cromwell, CT |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002707 | CT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1447400882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 HIGHLAND ST",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064373514",
"telephone_number": "203-141-1610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 BERLIN RD",
"address_2": "VISION CENTER",
"city": "CROMWELL",
"state": "CT",
"postal_code": "064161021",
"telephone_number": "860-635-5801",
"fax_number": "860-635-6165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASON",
"first_name": "RICHARD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-23",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "002707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cromwell, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.