Individual provider Active NPI

Elizabeth T Hofmann, OD

  • Optometrist
  • Stamford, CT
National Provider Identifier
1497231187
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3291 Issued in CT
Practice address
1351 Washington Blvd Ste 101
Stamford, CT 06902-2449
Phone
(203) 327-5808
Fax
(203) 352-5199
NPI assigned
Jul 16, 2018
Last updated
May 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 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 3291 CT Primary

Addresses

Primary practice location

1351 Washington Blvd Ste 101
Stamford, CT 06902-2449

Mailing address

1351 Washington Blvd Ste 101
Stamford, CT 06902-2449
Phone (203) 327-5808

Other names 1

  • Elizabeth T Potvin Former name

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
I20230525001346 CT Practitioner - Optometry 3577811082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stamford Ophthalmology LLCGroup PAC ID 6507759529, 8 clinicians

Practice addresses (Care Compare)

1351 Washington Blvd
Suite 101
Stamford, CT 06902-2419
Phone (203) 327-5808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5281MAMDVeterinarian

Practice roles

OrganizationSpecialtyStatusNew patients
Stamford Ophthalmology, LLC CurrentSince Sep 1, 2025 Accepting new patients
Aeg Massachusetts Professional PC Optometrist PastSince Jul 16, 2018 Accepting new patients
Stamford Ophthalmology, LLC PastSince Jun 3, 2025 Accepting new patients

Locations

1351 Washington Blvd
Ste 101
Stamford, CT 06902
Phone (203) 325-0805

Organizations & group practices 3

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": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1497231187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 WASHINGTON BLVD STE 101",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022449",
            "telephone_number": "203-327-5808",
            "fax_number": "203-352-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 WASHINGTON BLVD STE 101",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022449",
            "telephone_number": "203-327-5808",
            "fax_number": "203-352-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFMANN",
        "first_name": "ELIZABETH",
        "middle_name": "T",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2025-05-27",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "POTVIN",
            "middle_name": "T",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.