NPIMap

Organization Active NPI

Connecticut Eye Consultants, PC

Doing business as Danbury Eye Physicians Optical Shop

  • Durable Medical Equipment & Medical Supplies
  • Danbury, CT
National Provider Identifier
1891902037
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CONNECTICUT EYE CONSULTANTS, PC
Doing business as
Danbury Eye Physicians Optical Shop
Practice address
69 Sand Pit Rd
Suite 100
Danbury, CT 06810-4004
Phone
(203) 792-0090
Fax
(203) 778-6238
NPI assigned
May 17, 2007
Last updated
Oct 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Fiona B Lange
Title
Finance and Compliance Manager
Phone
(203) 791-2020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Optometrist 152W00000X 2050391000 CT

Addresses

Primary practice location

69 Sand Pit Rd
Suite 100
Danbury, CT 06810-4004

Mailing address

69 Sand Pit Rd
Suite 100
Danbury, CT 06810-4004
Phone (203) 792-0090

Other practice location 1

120 Park Lane Rd Ste B203
New Milford, CT 06776-2445
Phone (860) 946-6000

Other identifiers 2

IdentifierTypeStateIssuer
4001327MedicaidCT
4197514MedicaidCT

Other names 2

  • Danbury Eye Physicians Optical Shop Doing business as
  • Danbury Eye Optical Shop Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041005000953 CT Part B Supplier - Clinic/Group Practice 2668431792 Receives reassigned benefits from 16 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New Milford, CT; Southbury, CT; Prospect, CT; Lakeville, CT; Danbury, CT
O20100930031924 CT DME Supplier - Physician - OphthalmologyDME Supplier - Optician 2668431792 Practice locations: Danbury, CT

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Danbury Eye Phys & Surg Optical Dep69 Sand Pit Rd, Danbury, CT 06810-4004(203) 792-0090 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Apr 1, 1990

National Provider Directory

National Provider Directory
Tax ID family
Connecticut Eye Consultants PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

69 Sand Pit Rd
Ste 100
Danbury, CT 06810
Phone (203) 792-0090

120 Park Lane Rd
New Milford, CT 06776
Phone (860) 210-5195

166 Waterbury Rd
Ste 201
Prospect, CT 06712
Phone (203) 758-5733

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1891902037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 SAND PIT RD",
            "address_2": "SUITE 100",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104004",
            "telephone_number": "203-792-0090",
            "fax_number": "203-778-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 SAND PIT RD",
            "address_2": "SUITE 100",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104004",
            "telephone_number": "203-792-0090",
            "fax_number": "203-778-6238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Park Lane Rd Ste B203",
            "address_purpose": "LOCATION",
            "city": "New Milford",
            "state": "CT",
            "postal_code": "067762445",
            "country_code": "US",
            "telephone_number": "860-946-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONNECTICUT EYE CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "FIONA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "FINANCE AND COMPLIANCE MANAGER",
        "authorized_official_telephone_number": "203-791-2020"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2050391000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4001327",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4197514",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Danbury Eye Physicians Optical Shop",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Danbury Eye Optical Shop",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.