Natalia Pisklak

Primary specialty

OptometristTaxonomy code 152W00000X

License

003182 Issued in CT

Practice address

163 Broadway St
Colchester, CT 06415-1022

Phone

(860) 537-2020

NPI assigned

Apr 30, 2020

Last updated

Apr 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT, MA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

New England College of Optometry, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Baltazar Eye Care PCGroup PAC ID 2860879558, 3 clinicians

Wild Apple Eye II LLCGroup PAC ID 9537551353, 5 clinicians

Wild Apple Eye III LLCGroup PAC ID 5799177952, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wild Apple Eye II LLC

  • Optometrist
  • Colchester, CT
  • NPI 1174283246
  Medicare reassignment Care Compare group NPD
• Wild Apple Eye III LLC

  • Optometrist
  • Hebron, CT
  • NPI 1346900412
  Medicare reassignment Care Compare group NPD
• Baltazar Eye Care, PC

  dba Chicopee Eyecare

  • Optometrist
  • Chicopee, MA
  • NPI 1073258331
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1033730064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 NORTH RD",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010859721",
            "telephone_number": "413-388-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 BROADWAY ST",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151022",
            "telephone_number": "860-537-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISKLAK",
        "first_name": "NATALIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-30",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "003182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Performance Edge Sports, LLC (Family Physical Therapy)
• Performance Physical Therapy & Sports Medicine, Inc
• Personal Exporations, LLC
• Stephanie Pineiro, PA-C
• Amy Pinnock-Robinson, LCSW
• Wendy Pizzoferrato, RN
• Barbara Pokorny, APRN
• Laura C Popeleski, PAC
• Priya Tandon M.D. LLC
• Professional Dental Alliance of Colchester, PLLC (Life Long Dental Care of Colchester)

• Optometrist in Colchester, CT
• Providers in Colchester, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.