Individual provider Active NPI

Marc Denigris, O.D.

  • Optometrist
  • East Haven, CT
National Provider Identifier
1487879656
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1045 Issued in CT
Practice address
135 Saltonstall Pkwy
East Haven, CT 06512-2426
Phone
(203) 467-6112
Fax
(203) 469-6424
NPI assigned
Apr 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1045 CT Primary

Addresses

Primary practice location

135 Saltonstall Pkwy
East Haven, CT 06512-2426

Mailing address

135 Saltonstall Pkwy
East Haven, CT 06512-2426
Phone (203) 467-6112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20120612000081 CT Practitioner - Optometry 7113181710 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1985
Medicare assignment
May accept Medicare assignment
Group practices
Myeyedr Optometry of Connecticut LLCGroup PAC ID 1557666237, 70 clinicians

Practice addresses (Care Compare)

162 Mountain Rd
Suffield, CT 06078-2091
Phone (860) 668-0266

60 Old Church St
Route 68
Wallingford, CT 06492-2340
Phone (203) 265-7990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Connecticut, LLC Optometrist Current Accepting new patients
East Haven Eye Care, LLC Optometrist CurrentSince Jul 19, 2017 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist CurrentSince Jun 5, 2020 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist CurrentSince Jun 5, 2020 Accepting new patients
Richard a. Fichman, MD PC Optometrist CurrentSince Nov 1, 2017 Accepting new patients
Richard a Fichman MD PC CurrentSince Nov 1, 2017 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist Past Accepting new patients

Locations

145 Wakelee Ave
Ansonia, CT 06401
Phone (203) 734-1686

178 Hartford Rd
Manchester, CT 06040
Phone (860) 649-9973

29 Buckland St
Manchester, CT 06042
Phone (860) 646-6655

1457 Whalley Ave
New Haven, CT 06515
Phone (203) 387-3937

185 Boston Post Rd
Ste 13
Orange, CT 06477
Phone (203) 795-5000

162 Mountain Rd
Suffield, CT 06078
Phone (860) 668-0241

1144 E Main St
Torrington, CT 06790
Phone (860) 489-7671

60 Church St
Yalesville, CT 06492
Phone (203) 284-9099

60 Church St
#68
Yalesville, CT 06492
Phone (203) 265-2205

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 12

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": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1487879656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 SALTONSTALL PKWY",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065122426",
            "telephone_number": "203-467-6112",
            "fax_number": "203-469-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 SALTONSTALL PKWY",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065122426",
            "telephone_number": "203-467-6112",
            "fax_number": "203-469-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENIGRIS",
        "first_name": "MARC",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "1045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Haven, CT

Sources for this page

Verify at the official NPI Registry.