Individual provider Active NPI

John William Rathjens, O.D.

  • Optometrist
  • Milford, CT
National Provider Identifier
1497861405
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2511 Issued in CT
Practice address
1201 Boston Post Rd Ste 2006
Milford, CT 06460-2786
Phone
(203) 530-3000
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 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 2511 CT Primary

Addresses

Primary practice location

1201 Boston Post Rd Ste 2006
Milford, CT 06460-2786

Mailing address

639 Arrowhead Dr
Orange, CT 06477-2306
Phone (203) 795-0074

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
I20150416000872 CT Practitioner - Optometry 9830417179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rathjens Vision Care PCGroup PAC ID 8921326265, 3 clinicians

Practice addresses (Care Compare)

1201 Boston Post Rd
Suite 2063
Milford, CT 06460-9014
Phone (203) 530-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002511CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rathjens Vision Care, PC Optometrist CurrentSince Jan 7, 2015 Accepting new patients

Locations

1201 Boston Post Rd
Ste 2006
Milford, CT 06460
Phone (203) 530-3000

1201 Boston Post Rd
Ste 2063
Milford, CT 06460
Phone (203) 530-3000

Organizations & group practices 1

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1497861405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 ARROWHEAD DR",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064772306",
            "telephone_number": "203-795-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BOSTON POST RD STE 2006",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064602786",
            "telephone_number": "203-530-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHJENS",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.