Active NPI
Justin Rapp, O.D.
- Optometrist
- Stamford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 003162
- Practice address
- 2046 W Main St Ste 2
Stamford, CT 06902-4523 - Phone
- (203) 869-3082
- NPI assigned
- Aug 19, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 003162 | CT | Primary |
Addresses
Primary practice location
2046 W Main St Ste 2
Stamford, CT 06902-4523
Mailing address
2046 W Main St # 2
Stamford, CT 06902-4523
Phone (203) 861-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0280291 | Medicaid | NY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 2011
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2600 Post Rd
Southport, CT 06890-3206
Phone (203) 255-4005
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007809 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecare Associates, P.C. | Optometrist | Current | Accepting new patients |
| Ny Comprehensive Medical Wellness P.C. | Current | Accepting new patients |
Locations
2600 Post Rd
Southport, CT 06890
Phone (203) 255-4005
6515 Main St
Ste 12
Trumbull, CT 06611
Phone (203) 374-2020
6515 Main St
Trumbull, CT 06611
Phone (203) 268-9114
329 E 149th St
Fl 2
Bronx, NY 10451
Phone (718) 585-5500
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 and National Provider Directory roles.
-
- Optometrist
- Trumbull, CT
- NPI 1073846267
-
- Dermatopathology Physician
- Bronx, NY
- NPI 1912419698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1992085179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2046 W MAIN ST # 2",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069024523",
"telephone_number": "203-861-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2046 W MAIN ST STE 2",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069024523",
"telephone_number": "203-869-3082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAPP",
"first_name": "JUSTIN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-19",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "003162",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0280291",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.