Diana Ngo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3223 Issued in CT

Practice address

2600 Post Rd Ste 210
Southport, CT 06890-3206

Phone

(203) 255-4005

NPI assigned

May 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eyecare Associates, P.C.

  • Optometrist
  • Trumbull, CT
  • NPI 1073846267
  NPD (past)
• Mount Kisco Family Vision Care

  • Optometrist
  • Mount Kisco, NY
  • NPI 1164680062
  NPD (past)

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1811633217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 POST RD STE 210",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068903206",
            "telephone_number": "203-255-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 POST RD STE 210",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068903206",
            "telephone_number": "203-255-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "DIANA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "CT",
            "license": "3223",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICUT LICENSE",
            "identifier": "3223",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@cteyecareassoicates.com",
            "affiliation": "Y",
            "endpointDescription": "Office email address",
            "affiliationName": "EYECARE ASSOCIATES, PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2600 Post Rd Ste 210",
            "city": "Southport",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068903206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jill Miller, M.S., CCC-SLP
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• Kainat Naeem
• New Learning Therapy Center
• Jack Newton, DMD
• Tyler Nichols
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• Tracy McGee Osborne, LMFT
• Peggy-Sue Forster, LLC
• Elizabeth Perry, L.C.S.W.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.