Individual provider Active NPI

Martin L Hellman, O.D.

  • Corneal and Contact Management Optometrist
  • Norwich, CT
National Provider Identifier
1487705737
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
001018 Issued in CT
Practice address
22 Salem Tpke
Norwich, CT 06360-6516
Phone
(860) 889-2020
Fax
(860) 889-6597
NPI assigned
Jan 15, 2007
Last updated
Jan 26, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 001018 CT Primary

Addresses

Primary practice location

22 Salem Tpke
Norwich, CT 06360-6516

Mailing address

22 Salem Tpke
Norwich, CT 06360-6516
Phone (860) 889-2020

Other identifiers 1

IdentifierTypeStateIssuer
004052965MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, VT2 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
I20110223000406 CT Practitioner - Optometry 0840471975 Reassigns benefits to 1 organization
I20221027003361 VT Practitioner - Optometry 0840471975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Eye LLCGroup PAC ID 5496163545, 10 clinicians

Practice addresses (Care Compare)

35 Talcottville Rd
Vernon, CT 06066-5261
Phone (860) 870-6337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001018CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
City Eye, LLC CurrentSince May 7, 2024 Accepting new patients
Myeyedr Optometry of Vermont LLC CurrentSince Sep 30, 2022 Accepting new patients
Myeyedr Optometry of Vermont LLC CurrentSince Sep 30, 2022 Accepting new patients

Locations

35 Talcottville Rd
Vernon Rockville, CT 06066
Phone (860) 870-6337

249 Hartford Ave
Spc A170
Bellingham, MA 02019
Phone (774) 295-2018

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

5399 Williston Rd
Ste 102
Williston, VT 05495
Phone (802) 864-5428

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1487705737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SALEM TPKE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063606516",
            "telephone_number": "860-889-2020",
            "fax_number": "860-889-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SALEM TPKE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063606516",
            "telephone_number": "860-889-2020",
            "fax_number": "860-889-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLMAN",
        "first_name": "MARTIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CT",
            "license": "001018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004052965",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.