MRS. SUSAN EVANS (NPI# 1629106729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629106729 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN EVANS |
| Credential | OD |
| Practice Address |
1 Lake St New Britain CT 06052-1396 |
| Mailing Address |
300 Kensington Ave New Britain CT 06051-3916 |
| Practice Telephone | 8608264460 |
| Practice Fax Number | 8608264436 |
| Mailing Telephone | 8602246231 |
| Mailing Fax Number | 8602246260 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 002478 | CT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | BLOCK VISION | 932470 | 01 |
| CT | BCBS & BCFP PROVIDER ID | 090002478CT04 | 01 |
| CT | HEALTH NET | 2V9149 | 01 |
| CT | EYE MED VISION CARE | CT2478 | 01 |
| CT | GHMC GROUP NPI | 1255448155 | 01 |
| CT | GHMC GROUP MEDICAID ID | 1255448155 | 01 |
| CT | CONNECTICARE | 102478 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143446 | Susan Elizabeth Evans | Nurse Practitioner | 2540 Elko Rd, Elko, GA 31025-2202 | 2020-10-28 |
| 1841842085 | Susan Marie Evans | Home Health | 1319 Lyon St Apt B, Columbia, SC 29204-1993 | 2019-07-09 |
| 1174099352 | Susan Beth Evans | Occupational Therapist | 320 Town Center Blvd Ste C-101, White Lake, MI 48386-2183 | 2018-10-16 |
| 1760957773 | Susan Evans | Occupational Therapist | 443 Fairmont Ter, Port Charlotte, FL 33954-3462 | 2018-10-05 |
| 1932682630 | Susan Esther Evans | Occupational Therapist | 201 S Lloyd St Ste W210, Aberdeen, SD 57401-4521 | 2018-09-10 |
| 1659815850 | Susan Jane Evans | Counselor | 3836 Sacramento St, San Francisco, CA 94118-1626 | 2016-12-07 |
| 1023486693 | Susan Evans | Developmental Therapist | 4000 Eagle Point Corporate Dr Ste 500, Birmingham, AL 35242-1900 | 2015-09-12 |
| 1316296130 | Susan Evans | Physician Assistant | 1523 New York Ave, Brooklyn, NY 11210-2738 | 2012-09-07 |
| 1801198924 | Susan Gail Evans | Massage Therapist | 210 West Evergreen Elite Muscular Therapy, Suite 500, Vancouver, WA 98660 | 2010-11-22 |
| 1972753341 | Susan Evans | Social Worker | 4009 Pinecrest Dr, Champaign, IL 61822-9214 | 2008-09-23 |
| Street Address |
1 LAKE ST |
| City | NEW BRITAIN |
| State | CT |
| Zip Code | 06052-1396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152360 | Corlis L. Archer-goode | Urology | 1 Lake St, Bldg B2nd, New Britain, CT 06052-1396 | 2005-05-24 |
| 1811467343 | Mohamad Beydoun | Dentist | 1 Lake St, New Britain, CT 06052-1396 | 2018-11-27 |
| 1225546567 | Pediatric Dentistry and Orthodontics Pllc | Dentist | 1 Lake St, New Britain, CT 06052-1396 | 2018-01-22 |
| 1568868123 | Caitlin Mccormick | Physician Assistant | 1 Lake St, Building D, New Britain, CT 06052-1396 | 2014-11-10 |
| 1528470267 | Jonathan Winkler | Internal Medicine | 1 Lake St, New Britain, CT 06052-1396 | 2014-05-29 |
| 1962829101 | Gregory Richard Criscuolo Jr. | Physician Assistant | 1 Lake St, New Britain, CT 06052-1396 | 2014-03-26 |
| 1659527497 | Gilbert Ching | Internal Medicine | 1 Lake St, New Britain, CT 06052-1396 | 2008-08-12 |
| 1437315355 | Jason Leung | Dentist | 1 Lake St, New Britain, CT 06052-1396 | 2008-07-30 |
| 1689842569 | Joshua Aaron Stein | Urology | 1 Lake St, #b, New Britain, CT 06052-1396 | 2008-02-13 |
| 1326226044 | Arun Agarwal | Internal Medicine | 1 Lake St, New Britain, CT 06052-1396 | 2008-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629604905 | Lynn Fazzino | Physical Therapist | Cora, 136 West Main St, New Britain, CT 06052 | 2020-03-18 |
| 1265927826 | Marie Susie Gustin | Psychologist | 365 Shuttle Meadow Ave, New Britain, CT 06052 | 2018-06-26 |
| 1942711718 | Ashley R Stevens | Nurse Practitioner | 22 Cedar St., New Britain, CT 06052 | 2017-10-19 |
| 1740710417 | Roxanne Guzze | Pharmacy Technician | 470 Hartford Road, New Britain, CT 06052 | 2017-06-15 |
| 1417483165 | Liberty Integrated Behavioral Health, LLC | Nurse Practitioner | 18 Hart St., New Britain, CT 06052 | 2017-05-02 |
| 1518233022 | Kristy Messier | Counselor | 73 Cedar St., The Hospital of Central Connecticut, New Britain, CT 06052 | 2012-03-29 |
| 1629374178 | Liberty Healthcare, LLC | Nurse Practitioner | 18 Hart St, New Britain, CT 06052 | 2011-02-01 |
| 1528207800 | Colleen M Picone | Social Worker | 55 Winthrop Street, New Britain, CT 06052 | 2009-02-11 |
| 1902073166 | Joseph Paladino | Durable Medical Equipment & Medical Supplies | 39 Brooklawn St, New Britain, CT 06052 | 2008-05-15 |
| 1861667768 | Elizabeth Kartsen | Audiologist | 292 West Main Street, Grove Hill Medical Center, PC, New Britain, CT 06052 | 2008-04-23 |
| Find all providers in zip 06052 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275781429 | Eagle River Ophthalmic Surgeons LLC | Optometrist | 1232 Corbin Ave, New Britain, CT 06053-3804 | 2008-08-29 |
| 1578657391 | Kyung Hwan Hong | Optometrist | 405 Hartford Rd, New Britain, CT 06053-1507 | 2006-10-03 |
| 1942309380 | Martha Maietta | Optometrist | 14 Vine St, New Britain, CT 06052-1431 | 2006-09-22 |
| 1700851565 | Joseph E. Pavano IIi | Optometrist | 198 East Main St, New Britain, CT 06051-1915 | 2006-02-22 |
| 1992357560 | Angelina Gavel-rukha | Optometrist | 405 Hartford Rd, New Britain, CT 06053-1507 | 2019-07-12 |
| 1427256593 | Doctor Pavano & Associates | Optometrist | 198 E Main St, New Britain, CT 06051-1915 | 2007-07-10 |
| 1295869832 | Mary W. Fedus | Optometrist | 475 Hartford Rd, New Britain, CT 06053-1524 | 2007-03-15 |
| 1306993647 | William James Becker | Optometrist | 70 W Main St, Suite 301, New Britain, CT 06051-4224 | 2007-01-05 |
| 1851468243 | Stephen N. Polezonis | Optometrist | 198 E Main St, New Britain, CT 06051-1915 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638463 | Troy Sanfilippo | Optometrist | 286 Laurelwood Dr, Salem, CT 06420-3937 | 2020-10-27 |
| 1205434347 | Mvca | Optometrist | Navy Submarine Base New London, Bldg 484, Groton, CT 06349 | 2020-10-12 |
| 1588279590 | Eyes On Nigrelli, LLC | Optometrist | 18 Pennsylvania Ave, Niantic, CT 06357-3231 | 2020-09-15 |
| 1558973289 | Solinsky Eyecare LLC | Optometrist | 55 Nye Rd Ste 104, Glastonbury, CT 06033-1281 | 2020-08-24 |
| 1528670783 | Irene Elaine Antar | Optometrist | 152 Merrow Rd #23c, Tolland, CT 06084 | 2020-08-19 |
| 1750991345 | Connecticut Children's Eye Care, P.C. | Optometrist | 599 Farmington Ave Ste 201, Farmington, CT 06032-2356 | 2020-08-07 |
| 1013525302 | Eyeconic Vision Care LLC | Optometrist | 500 Andrews Way Apt 102, South Windsor, CT 06074-9601 | 2020-07-22 |
| 1295351104 | Victor Paul | Optometrist | 1920 Norwich New London Tpke, Uncasville, CT 06382-1384 | 2020-06-17 |
| 1700410727 | Optimized Vision & Eye Care LLC | Optometrist | 20 Division St, Derby, CT 06418-1430 | 2020-02-28 |
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| Find all providers with the same taxonomy | ||||
| City | NEW BRITAIN |
| Zip Code | 06052 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.