Individual provider Active NPI

Maria Fernanda Varela, O.D.

  • Pediatric Optometrist
  • Farmington, CT
National Provider Identifier
1992951750
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
2848 Issued in CT
Practice address
366 Colt Hwy
Farmington, CT 06032-2547
Phone
(860) 409-0449
NPI assigned
Aug 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X 4660 MA
Pediatric Optometrist 152WP0200X 2848 CT Primary

Addresses

Primary practice location

366 Colt Hwy
Farmington, CT 06032-2547

Mailing address

55 Linbrook Rd
West Hartford, CT 06107-1228
Phone (617) 733-7492

Other identifiers 1

IdentifierTypeStateIssuer
1992951750MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mvarela37007@connecticutchildrens.direct-ci.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120711000480 CT Practitioner - Optometry 0143383752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Children'S Specialty Group, IncGroup PAC ID 6002720117, 144 clinicians

Practice addresses (Care Compare)

131 New London Tpke
Suite 200
Glastonbury, CT 06033-2246
Phone (860) 657-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2848CTMDPediatric Optometrist
4660MAMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Children'S Specialty Group, Inc. Pediatrics CurrentSince Feb 25, 2018 Accepting new patients
Connecticut Children'S Specialty Group, Inc. CurrentSince Feb 25, 2018 Accepting new patients

Locations

60 Hartland St
East Hartford, CT 06108

366 Route 6
Farmington, CT 06032
Phone (860) 408-0449

599 Farmington Ave
Ste 201
Farmington, CT 06032
Phone (860) 837-9600

366 Colt Hwy
Bldg 2
Farmington, CT 06032

505 Farmington Ave
Farmington, CT 06032
Phone (860) 837-6700

366 Colt Hwy
Farmington, CT 06032
Phone (860) 409-0449

131 New London Tpke
Ste 200
Glastonbury, CT 06033
Phone (860) 657-8400

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

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.

NPI Registry JSON

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1992951750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 LINBROOK RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071228",
            "telephone_number": "617-733-7492",
            "fax_number": "617-733-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 COLT HWY",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322547",
            "telephone_number": "860-409-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARELA",
        "first_name": "MARIA",
        "middle_name": "FERNANDA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MA",
            "license": "4660",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CT",
            "license": "2848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992951750",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvarela37007@connecticutchildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "282 Washington St",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061063322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.