Individual provider Active NPI

Stephen N. Polezonis, O.D.

  • Optometrist
  • New Britain, CT
National Provider Identifier
1851468243
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002150 Issued in CT
Practice address
198 E Main St
New Britain, CT 06051-1915
Phone
(860) 223-7900
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002150 CT Primary

Addresses

Primary practice location

198 E Main St
New Britain, CT 06051-1915

Mailing address

12 Botelle MNR
Cromwell, CT 06416-1301
Phone (860) 635-5758

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110502000102 CT Practitioner - Optometry 1759566011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctor Pavano and AssociatesGroup PAC ID 2264524628, 3 clinicians

Practice addresses (Care Compare)

198 E Main St
New Britain, CT 06051-1915
Phone (860) 223-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Your Eyes of New Britain PastSince Feb 15, 2010 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851468243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BOTELLE MNR",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064161301",
            "telephone_number": "860-635-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 E MAIN ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060511915",
            "telephone_number": "860-223-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLEZONIS",
        "first_name": "STEPHEN",
        "middle_name": "N.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.