Individual provider Active NPI

Anna Ngo, OD

  • Optometrist
  • Enfield, CT
National Provider Identifier
1578289401
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
003284 Issued in CT
Practice address
75 Freshwater Blvd
Enfield, CT 06082-3854
Phone
(860) 394-2004
NPI assigned
Oct 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 003284 CT Primary

Addresses

Primary practice location

75 Freshwater Blvd
Enfield, CT 06082-3854

Mailing address

54 Hydrangea LN
Suffield, CT 06078-2382
Phone (413) 636-7771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221108001906 MA Practitioner - Optometry 4284001074
I20250625003517 CT Practitioner - Optometry 4284001074 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003284CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Studio LLC Optometrist CurrentSince May 19, 2025 Accepting new patients

Locations

75 Freshwater Blvd
Enfield, CT 06082
Phone (860) 394-2004

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": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1578289401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 HYDRANGEA LN",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060782382",
            "telephone_number": "413-636-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRESHWATER BLVD",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823854",
            "telephone_number": "860-394-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "003284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

Verify at the official NPI Registry.