Individual provider Active NPI

Eric John Pape, O.D.

  • Optometrist
  • Middletown, CT
National Provider Identifier
1821250952
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002747 Issued in CT
Practice address
438 Main St
Suite 204
Middletown, CT 06457-3396
Phone
(888) 964-6681
Fax
(888) 662-0859
NPI assigned
Jun 30, 2008
Last updated
Oct 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002747 CT Primary
Optometrist 152W00000X 007288 NY

Addresses

Primary practice location

438 Main St
Suite 204
Middletown, CT 06457-3396

Mailing address

888 Worcester St
Suite 130
Wellesley, MA 02482-3744
Phone (617) 964-6681

Other identifiers 2

IdentifierTypeStateIssuer
03022864MedicaidNY
1821250952MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20080815000527 NY Practitioner - Optometry 1759456346 Reassigns benefits to 1 organization
I20080820000420 CT Practitioner - Optometry 1759456346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey L Morer OD PCGroup PAC ID 7719870807, 50 clinicians

Practice addresses (Care Compare)

101 Centerpoint Dr
Suite 215
Middletown, CT 06457-7568
Phone (888) 964-6681

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2747CTMDMarriage & Family Therapist
002747CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey L. Morer, OD, PC Optometrist CurrentSince Jul 16, 2008 Accepting new patients
Jeffrey L. Morer, OD, PC Optometrist CurrentSince Jul 16, 2008 Accepting new patients
Jeffrey L. Morer, OD, PC Optometrist CurrentSince Jul 16, 2008 Accepting new patients

Locations

101 Centerpoint Dr
Ste 215
Middletown, CT 06457
Phone (203) 696-3550

438 Main St
Ste 204
Middletown, CT 06457

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

888 Worcester St
Ste 130
Wellesley, MA 02482
Phone (857) 255-0293

115 Broadway
Dobbs Ferry, NY 10522
Phone (914) 693-6800

Organizations & group practices 3

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1821250952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 WORCESTER ST",
            "address_2": "SUITE 130",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024823744",
            "telephone_number": "617-964-6681",
            "fax_number": "339-686-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 MAIN ST",
            "address_2": "SUITE 204",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573396",
            "telephone_number": "888-964-6681",
            "fax_number": "888-662-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPE",
        "first_name": "ERIC",
        "middle_name": "JOHN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002747",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007288",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03022864",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821250952",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.