Individual provider Active NPI

Irene Elaine Antar, OD

  • Optometrist
  • Milford, CT
National Provider Identifier
1528670783
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3160 Issued in CT
Practice address
49 Turnpike SQ
Milford, CT 06460-2758
Phone
(203) 878-3098
NPI assigned
Aug 19, 2020
Last updated
Jan 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3160 CT Primary

Addresses

Primary practice location

49 Turnpike SQ
Milford, CT 06460-2758

Mailing address

49 Turnpike SQ
Milford, CT 06460-2758
Phone (203) 878-3098

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
I20210927002891 CT Practitioner - Optometry 6901203322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Westchester Eye CareGroup PAC ID 7214251255, 5 clinicians

Practice addresses (Care Compare)

715 Middletown Rd
Colchester, CT 06415-2236
Phone (860) 531-3852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Eye Care Optometrist CurrentSince Jan 2, 2023 Accepting new patients

Locations

715 Middletown Rd
Colchester, CT 06415
Phone (860) 267-8889

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, 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": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1528670783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 TURNPIKE SQ",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064602758",
            "telephone_number": "203-878-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 TURNPIKE SQ",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064602758",
            "telephone_number": "203-878-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTAR",
        "first_name": "IRENE",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.