Individual provider Active NPI

Thomas J Prignano, O.D.

  • Corneal and Contact Management Optometrist
  • East Hartford, CT
National Provider Identifier
1649241647
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
2166 Issued in CT
Practice address
893 Main St
Suite 201
East Hartford, CT 06108-2292
Phone
(860) 528-5816
Fax
(860) 290-5356
NPI assigned
Jan 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 2166 CT Primary

Addresses

Primary practice location

893 Main St
Suite 201
East Hartford, CT 06108-2292

Mailing address

893 Main St
Suite 201
East Hartford, CT 06108-2292
Phone (860) 528-5816

Other identifiers 2

IdentifierTypeStateIssuer
004209905MedicaidCT
061313539OtherCTCT TAX ID

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
I20110429000444 CT Practitioner - Optometry 6002996790 Receives reassigned benefits from 1 practitioner
Practice locations: East Hartford, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002166CTMDPhysical Therapy Assistant

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1649241647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 MAIN ST",
            "address_2": "SUITE 201",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061082292",
            "telephone_number": "860-528-5816",
            "fax_number": "860-290-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 MAIN ST",
            "address_2": "SUITE 201",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061082292",
            "telephone_number": "860-528-5816",
            "fax_number": "860-290-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIGNANO",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CT",
            "license": "2166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004209905",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT TAX ID",
            "identifier": "061313539",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

Verify at the official NPI Registry.