Individual provider Active NPI

Martin Robert Lindower, O.D.

  • Optometrist
  • Glastonbury, CT
National Provider Identifier
1861404949
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0969 Issued in CT
Practice address
63 Hebron Ave
Totalvision Eyecare of Glastonbury, LLC
Glastonbury, CT 06033-2078
Phone
(860) 659-5900
Fax
(860) 659-9900
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0969 CT Primary

Addresses

Primary practice location

63 Hebron Ave
Totalvision Eyecare of Glastonbury, LLC
Glastonbury, CT 06033-2078

Mailing address

63 Hebron Ave
Totalvision Eyecare of Glastonbury, LLC
Glastonbury, CT 06033-2078
Phone (860) 659-5900

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
I20060112000458 CT Practitioner - Optometry 2466475710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kibo Eyecare PLLCGroup PAC ID 1658750005, 2 clinicians

Practice addresses (Care Compare)

63 Hebron Ave
Suite E
Glastonbury, CT 06033-2078
Phone (860) 659-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0969CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kibo Eyecare, PLLC Optometrist CurrentSince Feb 1, 2023 Accepting new patients

Locations

63 Hebron Ave
Ste E
Glastonbury, CT 06033
Phone (860) 659-5900

63 Hebron Ave
Glastonbury, CT 06033
Phone (860) 659-5900

Organizations & group practices 1

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1861404949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 HEBRON AVE",
            "address_2": "TOTALVISION EYECARE OF GLASTONBURY, LLC",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332078",
            "telephone_number": "860-659-5900",
            "fax_number": "860-659-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 HEBRON AVE",
            "address_2": "TOTALVISION EYECARE OF GLASTONBURY, LLC",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332078",
            "telephone_number": "860-659-5900",
            "fax_number": "860-659-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDOWER",
        "first_name": "MARTIN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "0969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.