Individual provider Active NPI

Alexandra Kathryn Edmund, OD

  • Optometrist
  • Shelton, CT
National Provider Identifier
1447875463
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
003165 Issued in CT
Practice address
7 Riverside Dr
Shelton, CT 06484-8164
Phone
(203) 924-2175
NPI assigned
Jun 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 003165 CT Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

7 Riverside Dr
Shelton, CT 06484-8164

Mailing address

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

Other practice location 1

190 Coram Ave
Shelton, CT 06484-3347
Phone (203) 924-2175

Other practice location 2

950 Campbell Ave
West Haven, CT 06516-2770
Phone (203) 932-5711

Other practice location 3

775 Main St S
Southbury, CT 06488-2271
Phone (203) 262-6752

Other names 1

  • Alexandra Kathryn Budd Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210608000182 CT Practitioner - Optometry 0840690210 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Connecticut LLC 70 clinicians
Dr Joseph S Madrak OD LLC 3 clinicians

Practice addresses (Care Compare)

100 Main St N
Southbury, CT 06488-3840
Phone (203) 264-3937

145 Wakelee Ave
Ansonia, CT 06401-1176
Phone (203) 734-1686

7 Riverside Dr
Suite 4
Shelton, CT 06484-8164
Phone (203) 924-2175

775 Main St S
Southbury, CT 06488-2271
Phone (203) 262-6752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003165CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Connecticut, LLC Optometrist CurrentSince Jan 12, 2026 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist CurrentSince Jan 12, 2026 Accepting new patients
Dr Joseph S Madrak OD LLC Optometrist CurrentSince Jun 1, 2021 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist Past Accepting new patients

Locations

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

65 North St
Danbury, CT 06810
Phone (203) 790-9030

535 Route 111
Monroe, CT 06468
Phone (203) 261-1185

58 Maple St
Ste 3
Naugatuck, CT 06770
Phone (203) 729-2226

228 S Main St
Ste 3
Newtown, CT 06470
Phone (203) 426-3545

7 Riverside Dr
Ste 4
Shelton, CT 06484
Phone (203) 924-2175

190 Coram Ave
Shelton, CT 06484
Phone (203) 924-2175

775 Main St S
Southbury, CT 06488
Phone (203) 262-6752

100 Main St N
Southbury, CT 06488
Phone (203) 262-4559

604 Lakewood Rd
Waterbury, CT 06704
Phone (203) 575-0900

1249 W Main St
Ste 1
Waterbury, CT 06708
Phone (203) 805-7022

997 Main St
Watertown, CT 06795
Phone (860) 274-7576

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1447875463",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 RIVERSIDE DR",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064848164",
            "telephone_number": "203-924-2175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Coram Ave",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "CT",
            "postal_code": "064843347",
            "country_code": "US",
            "telephone_number": "203-924-2175",
            "fax_number": "203-924-9232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 Campbell Ave",
            "address_purpose": "LOCATION",
            "city": "West Haven",
            "state": "CT",
            "postal_code": "065162770",
            "country_code": "US",
            "telephone_number": "203-932-5711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "775 Main St S",
            "address_purpose": "LOCATION",
            "city": "Southbury",
            "state": "CT",
            "postal_code": "064882271",
            "country_code": "US",
            "telephone_number": "203-262-6752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDMUND",
        "first_name": "ALEXANDRA",
        "middle_name": "KATHRYN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "003165",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "BUDD",
            "middle_name": "KATHRYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.