Judith E Doctor, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0111296 Issued in CT

Practice address

129 Kings Hwy N
Westport, CT 06880-2438

Phone

(203) 227-4113

Fax

(203) 226-6718

NPI assigned

Feb 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1992243174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 KINGS HWY N",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802438",
            "telephone_number": "203-227-4113",
            "fax_number": "203-226-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 KINGS HWY N",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802438",
            "telephone_number": "203-227-4113",
            "fax_number": "203-226-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCTOR",
        "first_name": "JUDITH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "0111296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004394102",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan E Dieterich, PH.D.
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• Leslie C Doctor, M.D.
• Dr Robban Sica LLC
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• Robert D Dresdner, M.D.
• Sasha Nouri Drexler, DDS

• Ophthalmology Physician in Westport, CT
• Providers in Westport, CT by specialty
• Ophthalmology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.