Michael Shea, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002913 Issued in CT

Practice address

379 Prospect St
Torrington, CT 06790-5238

Phone

(860) 489-8445

NPI assigned

Apr 17, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

New England College of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blondin Shea Eye Care LLCGroup PAC ID 0941547418, 2 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Blondin Shea Eye Care LLC

  • Optometrist
  • Torrington, CT
  • NPI 1225500663
  Medicare reassignment Care Compare group NPD
• Matthew Blondin, OD

  • Optometrist
  • Torrington, CT
  • NPI 1386611762
  Medicare reassignment
• Kent Eyecare, LLC

  • Optometrist
  • Kent, CT
  • NPI 1972731099
  NPD (past)

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1447670401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 PROSPECT ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067905238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 PROSPECT ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067905238",
            "telephone_number": "860-489-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaushal B Shah, M.D.
• Mansi Nayankumar Shah
• Brandy R Sharack, LCSW
• Kavita Sharma
• Shannon Shaw
• Paige Shelesky, LMSW
• Alan B Sherman, DMD
• Taylor Shopey, APRN
• Kathleen M Sileo, RPT
• Lisa Simo-Kinzer

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.
• 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.