Omar J Perdomo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

003307 Issued in CT

Practice address

600 W Putnam Ave
Greenwich, CT 06830-6080

Phone

(203) 900-4011

Fax

(203) 900-4014

NPI assigned

Jul 22, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Eye Surgeons LLCGroup PAC ID 2264787688, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: operdomo@ces.intellechartdirect.net

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.

• Coastal Eye Surgeons LLC

  • Ophthalmology Physician
  • Greenwich, CT
  • NPI 1689181083
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1770218620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 NEPPERHAN AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107031415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W PUTNAM AVE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306080",
            "telephone_number": "203-900-4011",
            "fax_number": "203-900-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDOMO",
        "first_name": "OMAR",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-22",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009571",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "003307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Pecora-Saipe, RN, NP
• Sean C Peden, M.D.
• Luisa Cristina Pellegrino, M.S
• Danielle Ilana Pellman, RPA
• Alexandra Penick
• Joyce Z Pere, M.D.
• Yessica Isabel Pereyra
• William Perkins, ATC
• Rosemary Perley-Kwauk, CRNA
• Karen Perlman, LP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.