Individual provider Active NPI

Andrew J Epstein, M.D.

  • Ophthalmology Physician
  • Enfield, CT
National Provider Identifier
1801877584
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
41350 Issued in CT
Practice address
146 Hazard Ave Ste 201
Enfield, CT 06082-4566
Phone
(860) 763-4046
Fax
(760) 763-3856
NPI assigned
Nov 9, 2005
Last updated
Jun 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 41350 CT Primary

Addresses

Primary practice location

146 Hazard Ave Ste 201
Enfield, CT 06082-4566

Mailing address

146 Hazard Ave Ste 201
Enfield, CT 06082-4566
Phone (860) 763-4046

Other practice location 1

146 Hazard Ave
Suite 106
Enfield, CT 06082-4571
Phone (860) 763-4046

Other identifiers 10

IdentifierTypeStateIssuer
010041350CT09OtherCTBLUE CROSS BLUE SHIELD
3V3460OtherCTHEALTHNET
008017679MedicaidCT
3219691OtherCTCIGNA
544017OtherCTWELLCARE
7953519OtherCTAETNA
841350OtherCTCONNECTICARE
2335678OtherCTUNITED HEALTHCARE
P00106136OtherCTRR MEDICARE
P4072909OtherCTOXFORD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aepstein@northcteye.intellechartdirect.net

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070102000304 CT Practitioner - Ophthalmology 3577563337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

146 Hazard Ave
Enfield, CT 06082-4566
Phone (860) 763-4046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Connecticut Eye Associates, LLC Ophthalmology CurrentSince Dec 1, 2009 Accepting new patients
Northern Connecticut Eye Associates, LLC Ophthalmology CurrentSince Dec 1, 2009 Accepting new patients
William R. Maron MD PC Ophthalmology Past Accepting new patients
Corneal Associates, PC Ophthalmology Past Accepting new patients
Shari Roth, MD, LLC Ophthalmology PastSince Jan 17, 2021 Accepting new patients
Hartford Ophthalmology Associates, Inc Ophthalmology PastSince Feb 14, 2008 Accepting new patients
Vantage Eyecare, LLC Past Accepting new patients

Locations

146 Hazard Ave
Ste 106
Enfield, CT 06082
Phone (860) 763-4046

146 Hazard Ave
Ste 201
Enfield, CT 06082
Phone (860) 763-4041

Organizations & group practices 7

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1801877584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 HAZARD AVE STE 201",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824566",
            "telephone_number": "860-763-4046",
            "fax_number": "860-763-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 HAZARD AVE STE 201",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824566",
            "telephone_number": "860-763-4046",
            "fax_number": "760-763-3856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 Hazard Ave",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Enfield",
            "state": "CT",
            "postal_code": "060824571",
            "country_code": "US",
            "telephone_number": "860-763-4046",
            "fax_number": "860-763-3856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EPSTEIN",
        "first_name": "ANDREW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "41350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "010041350CT09",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3V3460",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008017679",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3219691",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "544017",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7953519",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "841350",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2335678",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00106136",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P4072909",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aepstein@northcteye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "146 Hazard Ave Ste 201",
            "city": "Enfield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060824566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

Verify at the official NPI Registry.