Healthcare Provider Details
I. General information
NPI: 1821091034
Provider Name (Legal Business Name): BRITT E ADORNATO O. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/23/2005
Last Update Date: 03/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
453 SUMNER AVE
SPRINGFIELD MA
01108-2320
US
IV. Provider business mailing address
453 SUMNER AVE
SPRINGFIELD MA
01108-2320
US
V. Phone/Fax
- Phone: 413-733-5155
- Fax: 413-733-5119
- Phone: 413-733-5155
- Fax: 413-733-5119
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 152WL0500X |
| Taxonomy | Low Vision Rehabilitation Optometrist |
| License Number | 4122 |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 152WC0802X |
| Taxonomy | Corneal and Contact Management Optometrist |
| License Number | 4122 |
| License Number State | MA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | 4122 |
| License Number State | MA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 0018243 |
| Identifier Type | OTHER |
| Identifier State | MA |
| Identifier Issuer | NEIGHBORHOOD HEALTH PLAN |
| # 2 | |
| Identifier | W16251 |
| Identifier Type | OTHER |
| Identifier State | MA |
| Identifier Issuer | BLUE CROSS BLUE SHIELD |
| # 3 | |
| Identifier | 004122 |
| Identifier Type | OTHER |
| Identifier State | MA |
| Identifier Issuer | TUFTS HEALTH PLANS |
| # 4 | |
| Identifier | 2215916 |
| Identifier Type | OTHER |
| Identifier State | MA |
| Identifier Issuer | FIRST HEALTH |
| # 5 | |
| Identifier | 29534 |
| Identifier Type | OTHER |
| Identifier State | MA |
| Identifier Issuer | HEALTH NEW ENGLAND |
| # 6 | |
| Identifier | 49340 |
| Identifier Type | OTHER |
| Identifier State | MA |
| Identifier Issuer | CHILDRENS MEDICAL SECURIT |
| # 7 | |
| Identifier | 1944155 |
| Identifier Type | OTHER |
| Identifier State | MA |
| Identifier Issuer | UNITED HEALTHCARE |
| # 8 | |
| Identifier | 0334227 |
| Identifier Type | MEDICAID |
| Identifier State | MA |
| Identifier Issuer | |
| # 9 | |
| Identifier | 412200 |
| Identifier Type | OTHER |
| Identifier State | MA |
| Identifier Issuer | CONNECTICARE |
| # 10 | |
| Identifier | 7750376 |
| Identifier Type | OTHER |
| Identifier State | MA |
| Identifier Issuer | AETNA |
| # 11 | |
| Identifier | 22-00401 |
| Identifier Type | OTHER |
| Identifier State | MA |
| Identifier Issuer | EVERCARE SENIOR OPTIONS |
| # 12 | |
| Identifier | 5914985 |
| Identifier Type | OTHER |
| Identifier State | MA |
| Identifier Issuer | CIGNA |
| # 13 | |
| Identifier | 988413 |
| Identifier Type | OTHER |
| Identifier State | MA |
| Identifier Issuer | NETWORK HEALTH |
| # 14 | |
| Identifier | AA9781 |
| Identifier Type | OTHER |
| Identifier State | MA |
| Identifier Issuer | HARVARD PILGRIM |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone:
