Joel Zuckerbraun, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1014 Issued in CT

Practice address

8 N Main St
Jewett City, CT 06351-2012

Phone

(860) 376-2848

Fax

(860) 376-4821

NPI assigned

Mar 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Griswold Eye Care, PLLC

  • Optometrist
  • Jewett City, CT
  • NPI 1134888662

  CT, Optometrist

  Medicare reassignment NPD
• Joel Zuckerbraun Odpl

  • Optometrist
  • Jewett City, CT
  • NPI 1699953729
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609835784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 N MAIN ST",
            "city": "JEWETT CITY",
            "state": "CT",
            "postal_code": "063512012",
            "telephone_number": "860-376-2848",
            "fax_number": "860-376-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 N MAIN ST",
            "city": "JEWETT CITY",
            "state": "CT",
            "postal_code": "063512012",
            "telephone_number": "860-376-2848",
            "fax_number": "860-376-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCKERBRAUN",
        "first_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "1014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Talbot
• Jazlyn Tang, LCSW
• The Center for Healing Indigo Wisdom Professional Counseling LLC
• Town of Griswold
• Walgreen Co

• All providers in Jewett City, CT
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.