Individual provider Active NPI

Vladislav Koyfman, O.D.

  • Optometrist
  • Newtown, CT
National Provider Identifier
1811346166
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3.003243 Issued in CT
Practice address
Dr. Eyefit LLC
25 Church Rd.
Newtown, CT 06470
Phone
(203) 426-5586
Fax
(203) 426-3355
NPI assigned
Jun 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9023TG TX
Optometrist 152W00000X 56 008429 NY
Corneal and Contact Management Optometrist 152WC0802X 56 008429 NY
Pediatric Optometrist 152WP0200X 56 008429 NY
Vision Therapy Optometrist 152WV0400X 56 008429 NY
Optometrist 152W00000X 3.003243 CT Primary

Addresses

Primary practice location

Dr. Eyefit LLC
25 Church Rd.
Newtown, CT 06470

Mailing address

Dr. Eyefit LLC
25 Church Hill Rd.
Newtown, CT 06470
Phone (203) 426-5586

Other practice location 1

511 Boston Post Rd
Port Chester, NY 10573-4734
Phone (914) 937-3955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX, CT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20161010002177 NY Practitioner - Optometry 6406144351 Reassigns benefits to 1 organization
I20170607000408 TX Practitioner - Optometry 6406144351 Reassigns benefits to 2 organizations
I20230104001405 CT Practitioner - Optometry 6406144351 Reassigns benefits to 1 organization

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)

25 Church Hill Rd
Newtown, CT 06470-1639
Phone (203) 426-5586

511 Boston Post Rd
Port Chester, NY 10573-4734
Phone (914) 937-3915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9023TXMDChiropractor
3.003243CTMDOptometrist
9023TGTXMDOptometrist
56 008429NYMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Houston CurrentSince Jun 1, 2017 Accepting new patients
University of Houston System Optometrist CurrentSince Jun 1, 2017 Accepting new patients
Ta Eye Associates, PLLC Optometrist CurrentSince Oct 1, 2018 Accepting new patients
University of Houston System Optometrist Current Accepting new patients
Dr. Eyefit, LLC CurrentSince Oct 7, 2022 Accepting new patients

Locations

25 Church Hill Rd
Newtown, CT 06470
Phone (203) 270-1122

3811 S Cooper St
Ste 2004
Arlington, TX 76015
Phone (817) 468-4461

2525 Lucas Dr
Bldg 3
Dallas, TX 75219
Phone (214) 528-7354

655 Taylor St
Fort Worth, TX 76102
Phone (817) 289-6800

4401 Martin Luther King Blvd
Houston, TX 77204
Phone (713) 743-1921

Organizations & group practices 6

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": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1811346166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DR. EYEFIT LLC",
            "address_2": "25 CHURCH HILL RD.",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "06470",
            "telephone_number": "203-426-5586",
            "fax_number": "203-426-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DR. EYEFIT LLC",
            "address_2": "25 CHURCH RD.",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "06470",
            "telephone_number": "203-426-5586",
            "fax_number": "203-426-3355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 Boston Post Rd",
            "address_purpose": "LOCATION",
            "city": "Port Chester",
            "state": "NY",
            "postal_code": "105734734",
            "country_code": "US",
            "telephone_number": "914-937-3955",
            "fax_number": "914-937-0586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOYFMAN",
        "first_name": "VLADISLAV",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-08",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9023TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "56 008429",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "56 008429",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NY",
            "license": "56 008429",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NY",
            "license": "56 008429",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3.003243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, CT

Sources for this page

Verify at the official NPI Registry.