Individual provider Active NPI

Stephanie T. Borey, O.D.

  • Optometrist
  • Groton, CT
National Provider Identifier
1528027869
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002735 Issued in CT
Practice address
258 Route 12
Suite 3
Groton, CT 06340-3415
Phone
(860) 445-2200
Fax
(860) 445-2233
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002735 CT Primary

Addresses

Primary practice location

258 Route 12
Suite 3
Groton, CT 06340-3415

Mailing address

258 Route 12
Suite 3
Groton, CT 06340-3415
Phone (860) 445-2200

Other names 1

  • Dr. Stephanie T. Borey-Warmus Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002735CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Takahashi Eye Care PC PastSince Sep 24, 2010 Accepting new patients
Ann Arbor Vision Care, PC Optometrist PastSince May 19, 2024 Accepting new patients

Organizations & group practices 2

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1528027869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 ROUTE 12",
            "address_2": "SUITE 3",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403415",
            "telephone_number": "860-445-2200",
            "fax_number": "860-445-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 ROUTE 12",
            "address_2": "SUITE 3",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403415",
            "telephone_number": "860-445-2200",
            "fax_number": "860-445-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOREY",
        "first_name": "STEPHANIE",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BOREY-WARMUS",
            "middle_name": "T.",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.