Nicholas Ernest Sostilio, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3.003109 Issued in CT

Practice address

2379 Black Rock Tpke
Fairfield, CT 06825-3229

Phone

(203) 333-5590

Fax

(203) 333-6722

NPI assigned

Aug 6, 2019

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

Other identifiers 1

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Sostilio Eye Care LLC

  dba Modern Focus Optometry

  • Optometrist
  • Fairfield, CT
  • NPI 1699410803
  Medicare reassignment NPD Authorized official
• Sight Services P.C.

  • Optometrist
  • Newark, NJ
  • NPI 1255720124

  CT

  Medicare reassignment NPD
• Dr. Nelson Gould

  • Eyewear Supplier
  • Fairfield, CT
  • NPI 1346415106
  NPD (past)
• Weicholz & Belkin MD's

  • Internal Medicine Physician
  • Fairfield, CT
  • NPI 1407868052
  NPD (past)

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1710532833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2379 BLACK ROCK TPKE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253229",
            "telephone_number": "203-333-5590",
            "fax_number": "203-333-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2379 BLACK ROCK TPKE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253229",
            "telephone_number": "203-333-5590",
            "fax_number": "203-333-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSTILIO",
        "first_name": "NICHOLAS",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-06",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3.003109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008112906",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danae Sonnenfeld, LCSW
• Sophia V. Leonida, MD PC (Stationhouse Pediatrics)
• Imelda G Soriano-Taylor, D.D.S.
• Heidi Sormaz, PH.D.
• Sostilio Eye Care LLC (Modern Focus Optometry)
• Sidet Sou, O.D.
• Soulcare Physical Therapy,LLC
• Southern Connecticut Christian Counseling Center (Renew Counseling Associates)
• Southport Chiropractic Office, P.C.
• Fiore F Soviero, PA

• Optometrist in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.