Provider Demographics
NPI:1821091034
Name:ADORNATO, BRITT E (O D)
Entity Type:Individual
Prefix:
First Name:BRITT
Middle Name:E
Last Name:ADORNATO
Suffix:
Gender:F
Credentials:O D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:453 SUMNER AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01108-2320
Mailing Address - Country:US
Mailing Address - Phone:413-733-5155
Mailing Address - Fax:413-733-5119
Practice Address - Street 1:453 SUMNER AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01108-2320
Practice Address - Country:US
Practice Address - Phone:413-733-5155
Practice Address - Fax:413-733-5119
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4122152WL0500X, 152WC0802X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0018243OtherNEIGHBORHOOD HEALTH PLAN
MAW16251OtherBLUE CROSS BLUE SHIELD
MA004122OtherTUFTS HEALTH PLANS
MA2215916OtherFIRST HEALTH
MA29534OtherHEALTH NEW ENGLAND
MA49340OtherCHILDRENS MEDICAL SECURIT
MA1944155OtherUNITED HEALTHCARE
MA0334227Medicaid
MA412200OtherCONNECTICARE
MA7750376OtherAETNA
MA22-00401OtherEVERCARE SENIOR OPTIONS
MA5914985OtherCIGNA
MA988413OtherNETWORK HEALTH
MAAA9781OtherHARVARD PILGRIM
MA49340OtherCHILDRENS MEDICAL SECURIT
MAU79132Medicare UPIN