Individual provider Active NPI

Laura Ridgely Hatch, MD

  • Ophthalmology Physician
  • Trumbull, CT
National Provider Identifier
1689995409
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
55850 Issued in CT
Practice address
160 Hawley LN Ste 107
Trumbull, CT 06611
Phone
(203) 378-3224
Fax
(203) 378-2968
NPI assigned
Jun 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 244142 MA
Ophthalmology Physician 207W00000X 55850 CT Primary

Addresses

Primary practice location

160 Hawley LN Ste 107
Trumbull, CT 06611

Mailing address

160 Hawley LN Ste 107
Trumbull, CT 06611-5346
Phone (203) 378-3224

Other practice location 1

160 Hawley Ln Ste 107
Trumbull, CT 06611
Phone (203) 378-3224

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161227001322 CT Practitioner - Ophthalmology 9638450083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
George Washington University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmic Surgeons of GR BPT PCGroup PAC ID 7214968353, 6 clinicians

Practice addresses (Care Compare)

2371 Black Rock Tpke
Fairfield, CT 06825-3229
Phone (203) 371-0141

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
244142MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Surgeons of GR BPT PC Ophthalmology CurrentSince Oct 1, 2021 Accepting new patients

Locations

2371 Black Rock Tpke
Fairfield, CT 06825
Phone (203) 371-0141

1825 Barnum Ave
Ste 202
Stratford, CT 06614
Phone (203) 386-1800

1825 Barnum Ave
Stratford, CT 06614
Phone (203) 377-1777

Interoperability endpoints

  • Direct secure messaging: lrn@ophthalmicsurgeons.ecldirect.net

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": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1689995409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 HAWLEY LN STE 107",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115346",
            "telephone_number": "203-378-3224",
            "fax_number": "203-378-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 HAWLEY LN STE 107",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "06611",
            "telephone_number": "203-378-3224",
            "fax_number": "203-378-2968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Hawley Ln Ste 107",
            "address_purpose": "LOCATION",
            "city": "Trumbull",
            "state": "CT",
            "postal_code": "06611",
            "country_code": "US",
            "telephone_number": "203-378-3224",
            "fax_number": "203-378-2968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATCH",
        "first_name": "LAURA",
        "middle_name": "RIDGELY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "244142",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "55850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

Verify at the official NPI Registry.