Waterford Optometric PC
NPI 1154174589ActiveOrganization· Optometrist· Waterford, CT
Optometrist in Waterford, Connecticut, registered in NPPES in April 2024. The authorized official on file is Jennifer Haber, OD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154174589 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 8, 2024 |
| Last updated in NPPES | Oct 31, 2024 |
| Certified by provider | Oct 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
Other Optometrist providers in Waterford
- 1760556393
- 1811612252
- 1386809432
- 1225499007
- 1790130656
- 1811211279
- 1316083215
- 1316107543
- 1538396080
- 1992875520
- 1548539513
- 1316704851