Individual provider Active NPI

Raymond Farmer, O.D

  • Optometrist
  • New Haven, CT
National Provider Identifier
1447823158
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3246 Issued in CT
Practice address
1457 Whalley Ave
New Haven, CT 06515-1153
Phone
(203) 387-3937
Fax
(203) 389-3994
NPI assigned
Jul 20, 2021
Last updated
May 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.007125 OH
Optometrist 152W00000X 3246 CT Primary

Addresses

Primary practice location

1457 Whalley Ave
New Haven, CT 06515-1153

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other practice location 1

3733 Park East Dr Ste 104
Beachwood, OH 44122-4334
Phone (216) 839-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, OH2 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

Enrollment IDStateProvider typePAC IDDetails
I20220701001771 CT Practitioner - Optometry 6002296431 Reassigns benefits to 1 organization
I20230531002354 OH Practitioner - Optometry 6002296431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Ohio, LLCGroup PAC ID 7719211010, 72 clinicians

Practice addresses (Care Compare)

7631 W Ridgewood Dr
Parma, OH 44129-5537
Phone (440) 888-3937

8254 Mayberry SQ N
Sylvania, OH 43560-9457
Phone (419) 885-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3246CTMDClinical Social Worker
OPT.007125OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Connecticut, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist CurrentSince Jul 25, 2022 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince May 22, 2023 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince May 22, 2023 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist CurrentSince Jul 25, 2022 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Past Accepting new patients

Locations

145 Wakelee Ave
Ansonia, CT 06401
Phone (203) 734-1686

1457 Whalley Ave
New Haven, CT 06515
Phone (203) 387-3937

3733 Park East Dr
Ste 104
Beachwood, OH 44122
Phone (216) 839-0200

2425 Locust St S
Canal Fulton, OH 44614
Phone (330) 854-1393

122 Fowler St
Cortland, OH 44410
Phone (330) 638-8599

1360 Eaton Ave
Hamilton, OH 45013
Phone (513) 894-1800

5992 Darrow Rd
Hudson, OH 44236
Phone (216) 839-0200

4865 Frank Ave NW
North Canton, OH 44720
Phone (330) 494-1710

112 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-6067

7631 W Ridgewood Dr
Parma, OH 44129
Phone (440) 888-3937

8254 Mayberry Sq N
Sylvania, OH 43560
Phone (419) 885-5300

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 7

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": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1447823158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1457 WHALLEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151153",
            "telephone_number": "203-387-3937",
            "fax_number": "203-389-3994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3733 Park East Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441224334",
            "country_code": "US",
            "telephone_number": "216-839-0200",
            "fax_number": "216-839-0808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARMER",
        "first_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-20",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007125",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.