Individual provider Active NPI

Abeeda Mehwash, OD

  • Optometrist
  • Hamden, CT
National Provider Identifier
1457915779
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3098 Issued in CT
Practice address
79 Talmadge Rd
Hamden, CT 06518-1739
Phone
(203) 623-5694
NPI assigned
Apr 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3098 CT Primary

Addresses

Primary practice location

79 Talmadge Rd
Hamden, CT 06518-1739

Mailing address

79 Talmadge Rd
Hamden, CT 06518-1739

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abeedamehwash18@neco.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NJ2 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
I20190502000119 CT Practitioner - Optometry 0042552580 Reassigns benefits to 2 organizations
I20210629000050 NJ Practitioner - Optometry 0042552580 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3098CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Services P.C. Optometrist CurrentSince Jan 1, 2021 Accepting new patients
Charter Oak Health Center, Inc. CurrentSince Mar 24, 2019 Accepting new patients
Charter Oak Health Center, Inc. CurrentSince Mar 24, 2019 Accepting new patients

Locations

1188 King St
Greenwich, CT 06831
Phone (203) 531-8300

21 Grand St
Hartford, CT 06106

65 Jay St
Newark, NJ 07103
Phone (973) 447-8882

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

Organizations & group practices 3

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": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1457915779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 TALMADGE RD",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065181739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 TALMADGE RD",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065181739",
            "telephone_number": "203-623-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHWASH",
        "first_name": "ABEEDA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abeedamehwash18@neco.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "79 Talmadge Rd",
            "city": "Hamden",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065181739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.