Armando Rafael, O.D.

Individual provider Active NPI Optometrist · Meriden, CT

NPI 1043393473 · NPPES record last updated Feb 15, 2010

Key facts

NPI
1043393473
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
CT1012 (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
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Optometry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plainville Optometrics LLC (2 clinicians)
B.E.K Eyecare, Inc (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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
CT1012CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
B.E.K Eyecare, Inc Optometrist Current
since Oct 10, 1986
Accepting new patients
Plainville Optometrics LLC Optometrist Current
since May 11, 2004
Accepting new patients
Plainville Optical Past
since 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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CT1012 CT Yes

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

Other identifiers

IdentifierTypeStateIssuer
004061248MedicaidCT

Other providers in Meriden, CT

All providers in Meriden, CT · Optometrist in Connecticut

Sources for this page

Verify at the official NPI Registry.