Professional Eyecare, LLC
NPI 1538396080ActiveOrganization· Optometrist· Waterford, CT
Optometrist in Waterford, Connecticut, registered in NPPES in June 2009. The authorized official on file is Mary C. Beaulieu, O.D., President/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1538396080 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 11, 2009 |
| Last updated in NPPES | Jun 11, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 2212 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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
- 1992875520
- 1548539513
- 1316704851
- 1154174589