Individual provider Active NPI

Armando Rafael, O.D.

  • Optometrist
  • Meriden, CT
National Provider Identifier
1043393473
Registry record updated Feb 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CT1012 Issued in CT
Practice address
512 W Main St
Castle View Plaza
Meriden, CT 06451-2758
Phone
(203) 235-2015
Fax
(203) 238-1432
NPI assigned
Oct 21, 2006
Last updated
Feb 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CT1012 CT Primary

Addresses

Primary practice location

512 W Main St
Castle View Plaza
Meriden, CT 06451-2758

Mailing address

512 W Main St
Castle View Plaza
Meriden, CT 06451-2758
Phone (203) 235-2015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071120000030 CT Practitioner - Optometry 4486742707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plainville Optometrics LLCGroup PAC ID 8921247792, 2 clinicians
B.E.K Eyecare, IncGroup PAC ID 3476671694, 2 clinicians

Practice addresses (Care Compare)

28 E St
Plainville, CT 06062-2309
Phone (860) 793-9378

512 W Main St
Meriden, CT 06451-2758
Phone (203) 235-2015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CT1012CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
B.E.K Eyecare, Inc Optometrist CurrentSince Oct 10, 1986 Accepting new patients
Plainville Optometrics LLC Optometrist CurrentSince May 11, 2004 Accepting new patients
Plainville Optical PastSince Jun 14, 2013 Accepting new patients

Locations

512 W Main St
Meriden, CT 06451
Phone (203) 235-2015

28 East St
Plainville, CT 06062
Phone (860) 793-9378

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266192000000",
    "number": "1043393473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 W MAIN ST",
            "address_2": "CASTLE VIEW PLAZA",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064512758",
            "telephone_number": "203-235-2015",
            "fax_number": "203-238-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W MAIN ST",
            "address_2": "CASTLE VIEW PLAZA",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064512758",
            "telephone_number": "203-235-2015",
            "fax_number": "203-238-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFAEL",
        "first_name": "ARMANDO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2010-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "CT1012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

Verify at the official NPI Registry.