Tiffany T Perri, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002863 Issued in CT

Practice address

380 W Main St
Avon, CT 06001-3690

Phone

(860) 409-4565

NPI assigned

Jul 29, 2012

Last updated

Nov 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT, CO2 enrollments

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 2

Specialty

Optometry

Education

New England College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Archdale Eyecare PCGroup PAC ID 0648264408, 2 clinicians

Archdale Optometry Corporation PLLCGroup PAC ID 0345216461, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Archdale Eyecare PLLC

  dba Archdale Eye

  • Optometrist
  • Colorado Springs, CO
  • NPI 1154457687
  Medicare reassignment Care Compare group NPD
• Archdale Optometry Corporation PLLC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1275660565
  Medicare reassignment Care Compare group NPD
• Envision 2020 Eyecare, LLC

  • Optometrist
  • Avon, CT
  • NPI 1801445028
  Medicare reassignment NPD
• Oneopto Co 1 PLLC

  dba Archdale Eyecare

  • Optometrist
  • Colorado Springs, CO
  • NPI 1750231692
  NPD (past)

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

{
    "created_epoch": "1343520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1447506357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7095 LEXINGTON DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186329",
            "telephone_number": "860-409-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 W MAIN ST",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013690",
            "telephone_number": "860-409-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRI",
        "first_name": "TIFFANY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-29",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda M Pena, MD
• Peoplesdental, P.C. (Avon Dental Group)
• Laura Kay Perednia, LCSW, LICSW
• Jacqueline Nicole Perez, PA
• Kenneth Perks, M.D.
• Kathryn Michelle Perrone, PT, DPT
• Sasha Perry, PMHNP
• Liliana Petrov
• Carol Petruff, MD
• Kelly Pfeiffer, APRN

• Optometrist in Avon, CT
• Providers in Avon, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.