Active NPI
Tommasina Pasqua Sideris, OD
- Optometrist
- Litchfield, CT
National Provider Identifier
1942297312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2930
- Practice address
- 17C Commons Dr
Litchfield, CT 06759-3448 - Phone
- (860) 880-2020
- NPI assigned
- Sep 30, 2005
- Last updated
- Apr 20, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2930 | CT | Primary |
Addresses
Primary practice location
17C Commons Dr
Litchfield, CT 06759-3448
Mailing address
17C Commons Dr
Litchfield, CT 06759-3448
Phone (860) 880-2020
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tommasina Enterprises, LLC | Optometrist | Current | Accepting new patients |
| Staniszewski-Pasqua LLC | Optometrist | Past | Accepting new patients |
| Staniszewski-Pasqua LLC | Optometrist | Past | Accepting new patients |
| Melissa M David OD PLLC | Optometrist | Past | Accepting new patients |
| Dietrich PC | Optometrist | Past | Accepting new patients |
| HL Eyecare LLC | Optometrist | Past | Accepting new patients |
| Staniszewski-Pasqua LLC | Optometrist | Past | Accepting new patients |
| Pasqua LLC | Optometrist | Past | Accepting new patients |
Locations
17C Commons Dr
Litchfield, CT 06759
Phone (860) 567-7787
17C Commons Dr
Ste 3
Litchfield, CT 06759
Phone (860) 880-2020
Organizations & group practices 8
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.
-
- Optometrist
- Bantam, CT
- NPI 1740013630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461110400000",
"number": "1942297312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17C COMMONS DR",
"city": "LITCHFIELD",
"state": "CT",
"postal_code": "067593448",
"telephone_number": "860-880-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17C COMMONS DR",
"city": "LITCHFIELD",
"state": "CT",
"postal_code": "067593448",
"telephone_number": "860-880-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDERIS",
"first_name": "TOMMASINA",
"middle_name": "PASQUA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-30",
"last_updated": "2016-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "2930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Litchfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.