Connecticut Optometry Partners, PLLC
NPI 1669147559ActiveOrganization· Optometrist· Wallingford, CT
Optometrist in Wallingford, Connecticut, registered in NPPES in August 2021. The authorized official on file is Rosa Brunelle, Executive Director. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1669147559 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 12, 2021 |
| Last updated in NPPES | Nov 27, 2023 |
| Certified by provider | Aug 21, 2023 |
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 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); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (RI) |
|---|
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