Susan J Devine, OD
Individual provider Active NPI Optometrist · East Windsor, CT
NPI 1467590679 · NPPES record last updated Oct 18, 2013
Key facts
- NPI
- 1467590679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2404 (CT)
- Practice address
- 44 Prospect Hill Rd
East Windsor, CT 06088-9501 - Phone
- (860) 623-8013
- Fax
- (860) 627-6433
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- New England College of Optometry, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Apex Optometric Care PC
Practice addresses (Care Compare)
14 Hazard Ave
Enfield, CT 06082-3713
Phone (860) 256-8766
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.24 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.47
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CT, MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101123000783 | CT | Practitioner - Optometry | 2567658073 | Reassigns benefits to 1 organization |
| I20230113001854 | MA | Practitioner - Optometry | 2567658073 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2404 | CT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Eye Associates Inc | Current |
Accepting new patients | |
| Apex Optometric Care PC | Optometrist | Current |
Accepting new patients |
Locations
325 Burnham St
East Hartford, CT 06108
14 Hazard Ave
Enfield, CT 06082
Phone (860) 256-8766
3640 Main St
Ste 205
Springfield, MA 01107
Phone (413) 739-7367
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2404 | CT | Yes |
Addresses
Primary practice location
44 Prospect Hill Rd
East Windsor, CT 06088-9501
Mailing address
31 Watchaug Rd
Somers, CT 06071-1118
Phone (860) 763-4792
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004157493 | Medicaid | CT |
Other providers in East Windsor, CT
- Brian Dasilva
- Robert Louis Dasilva
- Brian Clyde Davis
- DCF Albert J. Solnit Center - North Campus
- Joseph Lakshman Dene
- Jonah Earl
- East Windsor Ambulance Assoc
- East Windsor Board of Education
- Eastern Services & Camp Simon, LLC
- Effective Solutions Counseling, LLC
All providers in East Windsor, CT · Optometrist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.