Evan Tirado, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

003059 Issued in CT

Practice address

246 Federal Rd Unit a-11
Brookfield, CT 06804-2647

Phone

(203) 775-1209

NPI assigned

Nov 2, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

New England College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brookfield Vision Care, LLCGroup PAC ID 3971766494, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Brookfield Vision Care, LLC

  • Optometrist
  • Brookfield, CT
  • NPI 1659659456
  Medicare reassignment Care Compare group NPD
• Eyecare Associates, P.C.

  • Optometrist
  • Trumbull, CT
  • NPI 1073846267
  NPD
• 200 West Optics, LLC

  dba MyEyeDr.

  • Optometrist
  • Brewster, NY
  • NPI 1831770890
  NPD (past)
• Carabin Eye Care, PC

  • Ophthalmology Physician
  • New Milford, NJ
  • NPI 1952498453
  NPD (past)

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1861904559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 FEDERAL RD UNIT A-11",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042647",
            "telephone_number": "203-775-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 FEDERAL RD UNIT A-11",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042647",
            "telephone_number": "203-775-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRADO",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-02",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "003059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "003059",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Theus, RDN
• Thomas M Foster Psychotherapist (Foster Psychotherapy)
• Anastasia L Thomson, OTR
• Thourya Haoues-Brown MD LLC
• Yan Hoi Ting, LAC
• Jennifer L Titus, MS, CCC-SLP
• Nancy J. Tolmoff, LMFT, LPC
• Helen F Tomasko, LPC
• Total Assurance Home Healthcare
• Janet Townley, NUTRITION COUNSELOR

• Optometrist in Brookfield, CT
• Providers in Brookfield, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.