NPIMap

Individual provider Active NPI

Bruce Seplowitz, O.D.

  • Optometrist
  • Farmington, CT
National Provider Identifier
1780747840
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
859 Issued in CT
Practice address
61 Westfarms Mall
D111
Farmington, CT 06032-2631
Phone
(860) 561-5687
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 859 CT Primary
Corneal and Contact Management Optometrist 152WC0802X 859 CT

Addresses

Primary practice location

61 Westfarms Mall
D111
Farmington, CT 06032-2631

Mailing address

61 Westfarms Mall
D111
Farmington, CT 06032-2631
Phone (860) 561-5687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000859CTMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Aucello & Associates, P.C. Optometrist Past Accepting new patients
Dr. Aucello & Associates, P.C. Optometrist Past Accepting new patients

Organizations & group practices 2

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1780747840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 WESTFARMS MALL",
            "address_2": "D111",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322631",
            "telephone_number": "860-561-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 WESTFARMS MALL",
            "address_2": "D111",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322631",
            "telephone_number": "860-561-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPLOWITZ",
        "first_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "859",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CT",
            "license": "859",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.