Crystal L Seaforth, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002614 Issued in CT

Practice address

69 Sand Pit Rd Ste 101
Danbury, CT 06810-4004

Phone

(203) 791-2020

Fax

(203) 778-6238

NPI assigned

May 12, 2006

Sex

Female

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 2

Electronic endpoints 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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Connecticut Eye Consultants PCGroup PAC ID 2668431792, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crystal.seaforth.p1@direct.danburyeye.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Connecticut Eye Consultants, PC

  • Ophthalmology Physician
  • Danbury, CT
  • NPI 1295773893

  Optometrist

  Medicare reassignment Care Compare group NPD
• Connecticut Eye Consultants, PC

  • Durable Medical Equipment & Medical Supplies
  • Danbury, CT
  • NPI 1891902037

  Optometrist

  NPD

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1790735447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 SAND PIT RD STE 101",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104004",
            "telephone_number": "203-791-2020",
            "fax_number": "203-778-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 SAND PIT RD STE 101",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104004",
            "telephone_number": "203-791-2020",
            "fax_number": "203-778-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAFORTH",
        "first_name": "CRYSTAL",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790735447",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004229242",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "crystal.seaforth.p1@direct.danburyeye.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "69 Sand Pit Rd Ste 101",
            "city": "Danbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068104004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deirdre Scott, LCSW
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• Kimberly Ann Scott, LCSW
• Avery Scuderi, RD
• Sculpted Spirit Mental Health Counseling, PLLC
• Randolph J Sealey, MD
• Holly Lynn Seddon, M.D.
• Satesh Arvinda Seegobin, MD
• Caitlin Seibert
• Christine Seidell, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.