Individual provider Active NPI

Britt E Adornato, O. D.

  • Optometrist
  • Springfield, MA
National Provider Identifier
1821091034
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4122 Issued in MA
Practice address
453 Sumner Ave
Springfield, MA 01108-2320
Phone
(413) 733-5155
Fax
(413) 733-5119
NPI assigned
May 23, 2005
Last updated
Mar 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4122 MA Primary
Corneal and Contact Management Optometrist 152WC0802X 4122 MA
Low Vision Rehabilitation Optometrist 152WL0500X 4122 MA

Addresses

Primary practice location

453 Sumner Ave
Springfield, MA 01108-2320

Mailing address

453 Sumner Ave
Springfield, MA 01108-2320
Phone (413) 733-5155

Other identifiers 14

IdentifierTypeStateIssuer
1944155OtherMAUNITED HEALTHCARE
0334227MedicaidMA
22-00401OtherMAEVERCARE SENIOR OPTIONS
412200OtherMACONNECTICARE
988413OtherMANETWORK HEALTH
2215916OtherMAFIRST HEALTH
49340OtherMACHILDRENS MEDICAL SECURIT
004122OtherMATUFTS HEALTH PLANS
5914985OtherMACIGNA
W16251OtherMABLUE CROSS BLUE SHIELD
7750376OtherMAAETNA
0018243OtherMANEIGHBORHOOD HEALTH PLAN
29534OtherMAHEALTH NEW ENGLAND
AA9781OtherMAHARVARD PILGRIM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040112000411 MA Practitioner - Optometry 5092615393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forest Park Eye Care PCGroup PAC ID 8123006996, 2 clinicians

Practice addresses (Care Compare)

453 Sumner Ave
Springfield, MA 01108-2320
Phone (413) 733-5155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4122MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Forest Park Eye Care PC Optometrist CurrentSince Feb 16, 2000 Accepting new patients
Aspen Enterprises, Inc. Optometrist PastSince Jan 12, 2004 Accepting new patients

Locations

453 Sumner Ave
Springfield, MA 01108
Phone (413) 733-5155

Interoperability endpoints

  • Direct secure messaging: badoranto@forestparkeyecare.eyefinity-direct.com

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1821091034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 SUMNER AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011082320",
            "telephone_number": "413-733-5155",
            "fax_number": "413-733-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 SUMNER AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011082320",
            "telephone_number": "413-733-5155",
            "fax_number": "413-733-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADORNATO",
        "first_name": "BRITT",
        "middle_name": "E",
        "credential": "O. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4122",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MA",
            "license": "4122",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MA",
            "license": "4122",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1944155",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0334227",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE SENIOR OPTIONS",
            "identifier": "22-00401",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "412200",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "988413",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2215916",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDRENS MEDICAL SECURIT",
            "identifier": "49340",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLANS",
            "identifier": "004122",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5914985",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W16251",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7750376",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0018243",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "29534",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA9781",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.