Individual provider Active NPI

Aaron Lewis, OD

  • Optometrist
  • Enfield, CT
National Provider Identifier
1669090916
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CT003186 Issued in CT
Practice address
139 Hazard Ave Ste 1
Enfield, CT 06082-4585
Phone
(860) 749-1233
Fax
(860) 749-4613
NPI assigned
Jul 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CT003186 CT Primary

Addresses

Primary practice location

139 Hazard Ave Ste 1
Enfield, CT 06082-4585

Mailing address

171 West St
Keene, NH 03431-3365

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
I20240805002588 CT Practitioner - Optometry 5890111926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emily Eye Care, LLCGroup PAC ID 2264612407, 3 clinicians
Connecticut Optometry Partners, PLLCGroup PAC ID 3476959172, 4 clinicians

Practice addresses (Care Compare)

139 Hazard Ave
BLDG 1
Enfield, CT 06082-4585
Phone (860) 749-1233

850 N Main St Ext
Suite 2A2
Wallingford, CT 06492-2483
Phone (203) 314-9493

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3186CTMDClinical Neuropsychologist
1014NHMDClinical Psychologist
CT003186CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Eye Care, LLC Optometrist CurrentSince Jul 25, 2024 Accepting new patients
Connecticut Optometry Partners, PLLC Optometrist CurrentSince Feb 5, 2026 Accepting new patients

Locations

139 Hazard Ave
Bldg 1
Enfield, CT 06082
Phone (860) 749-1233

139 Hazard Ave
Ste 1-1
Enfield, CT 06082
Phone (860) 404-2873

850 N Main Street Ext
Ste 2A2
Wallingford, CT 06492
Phone (203) 314-9493

22 Masonic Ave
Wallingford, CT 06492
Phone (203) 284-3900

Organizations & group practices 2

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": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1669090916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 WEST ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 HAZARD AVE STE 1",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824585",
            "telephone_number": "860-749-1233",
            "fax_number": "860-749-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "AARON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-13",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "CT003186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

Verify at the official NPI Registry.