Active NPI
Alyssa Chrisman, O.D.
- Optometrist
- Farmington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 003220
- Practice address
- 1600 S East Rd Ste 7
Farmington, CT 06032 - Phone
- (860) 507-0624
- NPI assigned
- Jun 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3638-05 | WI | |
| Optometrist | 152W00000X | 003220 | CT | Primary |
Addresses
Primary practice location
1600 S East Rd Ste 7
Farmington, CT 06032
Mailing address
1600 S East Rd Ste 7
Farmington, CT 06032-2608
Phone (860) 507-0624
Other practice location 1
2910 Roosevelt Rd # D1
Marinette, WI 54143-5108
Phone (715) 735-0260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
2360 Costco Way
Suite 120
Green Bay, WI 54311-9210
Phone (920) 468-4642
6000 Monona Dr
Suite 101
Monona, WI 53716-3329
Phone (608) 222-9420
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3638-05 | WI | MD | Optometrist |
| 003220 | CT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Virginia PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current | Accepting new patients |
| National Vision Inc | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
Locations
1600 S East Rd
Ste 7
Farmington, CT 06032
Phone (860) 507-0624
44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600
1328 Greenbrier Pkwy
Ste 420
Chesapeake, VA 23320
Phone (757) 523-2000
1401 Greenbrier Pkwy
Ste 1150
Chesapeake, VA 23320
Phone (757) 523-2000
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
3525 E Calumet St
Ste 1400
Appleton, WI 54915
Phone (920) 788-4114
2621 S Oneida St
Ste 104
Green Bay, WI 54304
Phone (920) 499-3511
Organizations & group practices 6
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.
-
dba America's Best Contacts & Eyeglasses
- Optometrist
- Farmington, CT
- NPI 1861083651
-
- Optometrist
- North Chesterfield, VA
- NPI 1932075983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672185600000",
"number": "1487278479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 S EAST RD STE 7",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060322608",
"telephone_number": "860-507-0624",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 S EAST RD STE 7",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "06032",
"telephone_number": "860-507-0624"
}
],
"practiceLocations": [
{
"address_1": "2910 Roosevelt Rd # D1",
"address_purpose": "LOCATION",
"city": "Marinette",
"state": "WI",
"postal_code": "541435108",
"country_code": "US",
"telephone_number": "715-735-0260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHRISMAN",
"first_name": "ALYSSA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-04",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "3638-05",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "003220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.