Individual provider Active NPI

Maria Luiza Gheorghe-Youssefi, O.D.

  • Optometrist
  • Meriden, CT
National Provider Identifier
1861565426
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002821 Issued in CT
Practice address
658 Broad St
Meriden, CT 06450-4336
Phone
(203) 237-2020
Fax
(203) 237-2040
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002821 CT Primary

Addresses

Primary practice location

658 Broad St
Meriden, CT 06450-4336

Mailing address

658 Broad St
Meriden, CT 06450-4336
Phone (203) 237-2020

Other names 1

  • Luiza Youssefi Professional name

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
I20110302000602 CT Practitioner - Optometry 1153495031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meriden Eye Care LLCGroup PAC ID 8820398456, 2 clinicians

Practice addresses (Care Compare)

658 Broad St
Meriden, CT 06450-4336
Phone (203) 237-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Meriden Eye Care, LLC Optometrist CurrentSince Oct 1, 2015 Accepting new patients

Locations

658 Broad St
Meriden, CT 06450
Phone (203) 237-2020

816 Broad St
Ste 13
Meriden, CT 06450
Phone (203) 237-2020

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1861565426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 BROAD ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504336",
            "telephone_number": "203-237-2020",
            "fax_number": "203-237-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 BROAD ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504336",
            "telephone_number": "203-237-2020",
            "fax_number": "203-237-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHEORGHE-YOUSSEFI",
        "first_name": "MARIA LUIZA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUIZA",
            "last_name": "YOUSSEFI",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Meriden, CT

Sources for this page

Verify at the official NPI Registry.