Individual provider Active NPI

Thomas R Conrod, O.D.

  • Optometrist
  • Hamden, CT
National Provider Identifier
1871621193
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002315 Issued in CT
Practice address
2300 Dixwell Ave
Hamden, CT 06514-2108
Phone
(203) 248-3937
Fax
(203) 288-5679
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002315 CT Primary

Addresses

Primary practice location

2300 Dixwell Ave
Hamden, CT 06514-2108

Mailing address

2300 Dixwell Ave
Hamden, CT 06514-2108
Phone (203) 248-3937

Other identifiers 6

IdentifierTypeStateIssuer
2301OtherCTHEALTHNET ID
001888867001OtherCTUNITED HEALTHCARE ID
102315OtherCTCONNECTICARE ID
0614004920005OtherCTCIGNA ID
090002315CTOtherCTANTHEM ID
P605594OtherCTOXFORD HEALTH PLAN ID

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
I20121023000001 CT Practitioner - Optometry 1951578350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamden Eye Associates, P.C.Group PAC ID 5698942092, 2 clinicians

Practice addresses (Care Compare)

1970 Whitney Ave
Suite 1
Hamden, CT 06517-1204
Phone (203) 248-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002315CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hamden Eye Associates, P.C. Optometrist CurrentSince Aug 31, 1994 Accepting new patients

Locations

1970 Whitney Ave
Hamden, CT 06517
Phone (203) 287-1591

1970 Whitney Ave
Ste 1
Hamden, CT 06517
Phone (203) 248-3937

2300 Dixwell Ave
North Haven, CT 06514
Phone (203) 230-2841

314 Main St
Yalesville, CT 06492
Phone (203) 269-3000

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1871621193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065142108",
            "telephone_number": "203-248-3937",
            "fax_number": "203-288-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065142108",
            "telephone_number": "203-248-3937",
            "fax_number": "203-288-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONROD",
        "first_name": "THOMAS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET ID",
            "identifier": "2301",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE ID",
            "identifier": "001888867001",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE ID",
            "identifier": "102315",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ID",
            "identifier": "0614004920005",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ID",
            "identifier": "090002315CT",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN ID",
            "identifier": "P605594",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.