John Mark Lertora, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002069 Issued in CT

Practice address

38 Tunxis Ave
Suite 1
Bloomfield, CT 06002-2034

Phone

(860) 243-2508

Fax

(860) 243-9332

NPI assigned

Feb 7, 2006

Last updated

Oct 25, 2022By the provider in NPPES

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

New England College of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Optometric Care PCGroup PAC ID 6800837162, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Optometric Care PC

  • Optometrist
  • Bloomfield, CT
  • NPI 1780656579
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1780657213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 TUNXIS AVE",
            "address_2": "SUITE 1",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022034",
            "telephone_number": "860-243-2508",
            "fax_number": "860-243-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 TUNXIS AVE",
            "address_2": "SUITE 1",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022034",
            "telephone_number": "860-243-2508",
            "fax_number": "860-243-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERTORA",
        "first_name": "JOHN",
        "middle_name": "MARK",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004065280",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn Leblanc, DPM
• Kenneth Lawrence Lefkowitz, DDS
• Debbie M Lembrick
• Lemons to Lavender, LLC
• Lensesonly, LLC
• Kirby Lessard
• Let's Talk About It Counseling Services, LLC
• Amani Levitan
• Cherone Levy
• Caroland Lewis, PSYCHOTHERAPIST

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.