Individual provider Active NPI

Bridgette Connorton, O.D.

  • Optometrist
  • Jarrettsville, MD
National Provider Identifier
1487087433
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1650-684T Issued in LA
Practice address
3718 Norrisville Rd Ste a
Jarrettsville, MD 21084-1419
Phone
(410) 557-8800
Fax
(410) 557-2811
NPI assigned
Aug 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1650-684T LA Primary

Addresses

Primary practice location

3718 Norrisville Rd Ste a
Jarrettsville, MD 21084-1419

Mailing address

3718 Norrisville Rd Ste a
Jarrettsville, MD 21084-1419
Phone (410) 557-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20221003000821 MD Practitioner - Optometry 4486871977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3718 Norrisville Rd
Suite a
Jarrettsville, MD 21084-1419
Phone (410) 557-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgette Connorton, OD, LLC Optometrist Current Accepting new patients
Jarrettsville Family Eyecare LLC CurrentSince May 15, 2023 Accepting new patients

Locations

5237 Jones Creek Rd
Baton Rouge, LA 70817
Phone (225) 755-3937

3718 Norrisville Rd
#A
Jarrettsville, MD 21084
Phone (410) 557-8800

Interoperability endpoints

  • Direct secure messaging: bconnorton@direct.revolutionehr.com

Organizations & group practices 2

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": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1487087433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3718 NORRISVILLE RD STE A",
            "city": "JARRETTSVILLE",
            "state": "MD",
            "postal_code": "210841419",
            "telephone_number": "410-557-8800",
            "fax_number": "410-557-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3718 NORRISVILLE RD STE A",
            "city": "JARRETTSVILLE",
            "state": "MD",
            "postal_code": "210841419",
            "telephone_number": "410-557-8800",
            "fax_number": "410-557-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNORTON",
        "first_name": "BRIDGETTE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1650-684T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jarrettsville, MD

Sources for this page

Verify at the official NPI Registry.