Individual provider Active NPI

Annemarie Vitka Abramson, O.D.

  • Optometrist
  • Waterbury, CT
National Provider Identifier
1720194764
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002363 Issued in CT
Practice address
3600 E Main St
Waterbury, CT 06705-3851
Phone
(203) 596-0406
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002363 CT Primary

Addresses

Primary practice location

3600 E Main St
Waterbury, CT 06705-3851

Mailing address

3600 E Main St
Waterbury, CT 06705-3851
Phone (203) 596-0406

Other identifiers 1

IdentifierTypeStateIssuer
090002363CT01OtherCTANTHEM BLUE CROSS/BLUE SH

Other names 1

  • Dr. Annemarie Margaret Vitka Former name

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
I20040503000192 CT Practitioner - Optometry 2062400880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Clarity Eye Care LLCGroup PAC ID 7810308970, 3 clinicians

Practice addresses (Care Compare)

3600 E Main St
Waterbury, CT 06705-3851
Phone (203) 596-0406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002363CTMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Eye Care LLC Optometrist CurrentSince Nov 30, 2020 Accepting new patients

Locations

3600 E Main St
Waterbury, CT 06705
Phone (203) 596-0406

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1720194764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 E MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053851",
            "telephone_number": "203-596-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 E MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053851",
            "telephone_number": "203-596-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMSON",
        "first_name": "ANNEMARIE",
        "middle_name": "VITKA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS/BLUE SH",
            "identifier": "090002363CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNEMARIE",
            "last_name": "VITKA",
            "middle_name": "MARGARET",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.