Individual provider Active NPI

David R Cartwright, O.D.

  • Optometrist
  • Glastonbury, CT
National Provider Identifier
1578979258
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2964 Issued in CT
Practice address
63 Hebron Ave Ste E
Glastonbury, CT 06033-2078
Phone
(860) 659-5900
Fax
(860) 659-9900
NPI assigned
Jul 2, 2014
Last updated
Aug 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008156-1 NY
Optometrist 152W00000X 2964 CT Primary

Addresses

Primary practice location

63 Hebron Ave Ste E
Glastonbury, CT 06033-2078

Mailing address

63 Hebron Ave Ste E
Glastonbury, CT 06033-2078
Phone (860) 659-5900

Other practice location 1

1 Sasco Hill Rd Ofc 202
Office 202
Fairfield, CT 06824-5670
Phone (203) 371-5800

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
I20151210000425 CT Practitioner - Optometry 0749581031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kibo Eyecare PLLCGroup PAC ID 1658750005, 2 clinicians

Practice addresses (Care Compare)

63 Hebron Ave
Suite E
Glastonbury, CT 06033-2078
Phone (860) 659-5900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008156-1NYMDOptometrist
2964CTMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Totalvision Eyecare Center of Glastonbury,LLC Optometrist CurrentSince Jul 21, 2006 Accepting new patients
Kibo Eyecare, PLLC Optometrist CurrentSince Jun 10, 2022 Accepting new patients
Ophthalmic Consultants of Long Island PastSince Aug 14, 2018 Accepting new patients

Locations

63 Hebron Ave
Glastonbury, CT 06033
Phone (860) 659-5900

63 Hebron Ave
Ste E
Glastonbury, CT 06033
Phone (860) 659-5900

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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1578979258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 HEBRON AVE STE E",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332078",
            "telephone_number": "860-659-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 HEBRON AVE STE E",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332078",
            "telephone_number": "860-659-5900",
            "fax_number": "860-659-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Sasco Hill Rd Ofc 202",
            "address_2": "Office 202",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CT",
            "postal_code": "068245670",
            "country_code": "US",
            "telephone_number": "203-371-5800",
            "fax_number": "203-371-6551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTWRIGHT",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-02",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008156-1",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.