Individual provider Active NPI

Angela Eng, O.D.

  • Optometrist
  • Southbury, CT
National Provider Identifier
1770848277
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2858 Issued in CT
Practice address
1449 Old Waterbury Rd
Suite 304
Southbury, CT 06488-3926
Phone
(203) 267-2020
NPI assigned
Jul 10, 2012
Last updated
Nov 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2858 CT Primary

Addresses

Primary practice location

1449 Old Waterbury Rd
Suite 304
Southbury, CT 06488-3926

Mailing address

1449 Old Waterbury Rd
Suite 304
Southbury, CT 06488-3926
Phone (203) 267-2020

Other names 1

  • Dr. Angela Yang 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
I20141008000002 CT Practitioner - Optometry 1456508662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2012
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

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Eye Care LLC Optometrist CurrentSince Nov 1, 2020 Accepting new patients
D'Angelo & Pesce Optometrist PastSince Jun 25, 2012 Accepting new patients
Villacis Eyecare III, LLC Optometrist Past Accepting new patients

Locations

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

Organizations & group practices 3

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1770848277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 OLD WATERBURY RD",
            "address_2": "SUITE 304",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064883926",
            "telephone_number": "203-267-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 OLD WATERBURY RD",
            "address_2": "SUITE 304",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064883926",
            "telephone_number": "203-267-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENG",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "YANG",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southbury, CT

Sources for this page

Verify at the official NPI Registry.