Individual provider Active NPI

Sydney Masna, OD

  • Optometrist
  • Newington, CT
National Provider Identifier
1801687611
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3396 Issued in CT
Practice address
485 Willard Ave
Newington, CT 06111-2376
Phone
(860) 666-7053
NPI assigned
May 13, 2025
Last updated
Jun 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 3396 CT Primary

Addresses

Primary practice location

485 Willard Ave
Newington, CT 06111-2376

Mailing address

133 Phipps Point Rd
Woolwich, ME 04579-5129
Phone (860) 377-3751

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
I20250728000504 CT Practitioner - Optometry 2365959145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

485 Willard Ave
Newington, CT 06111-2376
Phone (860) 666-7053

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3396CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Totalvision Eye Health Center LLC Optometrist CurrentSince Jun 4, 2025 Accepting new patients
Total Vision-Eye Health Center LLC Optometrist CurrentSince Jun 4, 2025 Accepting new patients

Locations

12 Coogan Blvd
Mystic, CT 06355
Phone (860) 415-9292

485 Willard Ave
Newington, CT 06111
Phone (860) 666-7053

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, 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": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1801687611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 PHIPPS POINT RD",
            "city": "WOOLWICH",
            "state": "ME",
            "postal_code": "045795129",
            "telephone_number": "860-377-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 WILLARD AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112376",
            "telephone_number": "860-666-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASNA",
        "first_name": "SYDNEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

Verify at the official NPI Registry.