Individual provider Active NPI

Korab Spahiu, OD

  • Optometrist
  • Waterbury, CT
National Provider Identifier
1801313606
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3018 Issued in CT
Practice address
495 Union St Ste 1082
Waterbury, CT 06706-1285
Phone
(203) 591-8353
Fax
(203) 591-1713
NPI assigned
Aug 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3018 CT Primary

Addresses

Primary practice location

495 Union St Ste 1082
Waterbury, CT 06706-1285

Mailing address

671 Meriden Rd
Waterbury, CT 06705-2432

Other practice location 1

5065 Main St
Trumbull, CT 06611-4204
Phone (203) 374-3211

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
I20171207001111 CT Practitioner - Optometry 8224395827 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

277 White St
Danbury, CT 06810-6934
Phone (203) 748-7393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Korab Spahiu, OD, LLC Optometrist CurrentSince May 3, 2022 Accepting new patients
Optometric Specialty Group of Simsbury PLLC Optometrist CurrentSince Mar 1, 2024 Accepting new patients
Optometric Specialty Group of Wethersfield, PLLC Optometrist CurrentSince Oct 1, 2023 Accepting new patients
Optometric Specialty Group Limited Liability Company Optometrist PastSince Oct 1, 2023 Accepting new patients
Dr. Michael T. Woronick, LLC Optometrist PastSince May 3, 2022 Accepting new patients

Locations

277 White St
Danbury, CT 06810
Phone (203) 748-7393

57 North St
Ste 103
Danbury, CT 06810
Phone (203) 744-7007

883 Hopmeadow St
Simsbury, CT 06070
Phone (860) 658-1620

185 Silas Deane Hwy
Ste 1
Wethersfield, CT 06109
Phone (860) 296-1700

Organizations & group practices 5

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": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1801313606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 MERIDEN RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067052432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 UNION ST STE 1082",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067061285",
            "telephone_number": "203-591-8353",
            "fax_number": "203-591-1713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5065 Main St",
            "address_purpose": "LOCATION",
            "city": "Trumbull",
            "state": "CT",
            "postal_code": "066114204",
            "country_code": "US",
            "telephone_number": "203-374-3211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPAHIU",
        "first_name": "KORAB",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-23",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.