Individual provider Active NPI

Joseph E. Pavano III, O.D.

  • Optometrist
  • New Britain, CT
National Provider Identifier
1700851565
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002149 Issued in CT
Practice address
198 East Main St
New Britain, CT 06051-1915
Phone
(860) 223-7900
Fax
(860) 826-7161
NPI assigned
Feb 22, 2006
Last updated
Mar 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002149 CT Primary

Addresses

Primary practice location

198 East Main St
New Britain, CT 06051-1915

Mailing address

198 East Main St
New Britain, CT 06051-1915
Phone (860) 223-7900

Other identifiers 1

IdentifierTypeStateIssuer
004119203MedicaidCT

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
I20110805000736 CT Practitioner - Optometry 8426140880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctor Pavano and AssociatesGroup PAC ID 2264524628, 3 clinicians

Practice addresses (Care Compare)

198 E Main St
New Britain, CT 06051-1915
Phone (860) 223-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2149CTMDSocial Worker
002149CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor Pavano & Associates Optometrist CurrentSince Jul 30, 1992 Accepting new patients
Your Eyes of New Britain PastSince Jul 30, 1992 Accepting new patients

Locations

198 E Main St
New Britain, CT 06051
Phone (860) 223-7900

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, 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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1700851565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 EAST MAIN ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060511915",
            "telephone_number": "860-223-7900",
            "fax_number": "860-826-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 EAST MAIN ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060511915",
            "telephone_number": "860-223-7900",
            "fax_number": "860-826-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVANO",
        "first_name": "JOSEPH",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004119203",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.