Individual provider Active NPI

Esteban C Vietorisz, M.D.

  • Ophthalmology Physician
  • Stamford, CT
National Provider Identifier
1932283769
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
035277 Issued in CT
Practice address
1351 Washington Blvd Ste 101
Stamford, CT 06902-2419
Phone
(203) 325-0805
Fax
(203) 352-5199
NPI assigned
Oct 25, 2006
Last updated
May 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 035277 CT Primary

Addresses

Primary practice location

1351 Washington Blvd Ste 101
Stamford, CT 06902-2419

Mailing address

1351 Washington Blvd Ste 101
Stamford, CT 06902-2419
Phone (203) 325-0805

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110629000403 CT Practitioner - Ophthalmology 5193758928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
JS Weill Medical College, Cornell University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stamford Ophthalmology LLCGroup PAC ID 6507759529, 8 clinicians

Practice addresses (Care Compare)

1351 Washington Blvd
Suite 101
Stamford, CT 06902-2419
Phone (203) 327-5808

1351 Washington Blvd
Suite 101
Stamford, CT 06902-2449

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
035277CTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stamford Ophthalmology, LLC Specialist CurrentSince Aug 5, 1996 Accepting new patients
Stamford Ophthalmology, LLC Ophthalmology Current Accepting new patients

Locations

1351 Washington Blvd
Ste 101
Stamford, CT 06902
Phone (203) 325-0805

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1932283769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 WASHINGTON BLVD STE 101",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022419",
            "telephone_number": "203-325-0805",
            "fax_number": "203-352-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 WASHINGTON BLVD STE 101",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022419",
            "telephone_number": "203-325-0805",
            "fax_number": "203-352-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIETORISZ",
        "first_name": "ESTEBAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "035277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.