Brett W Kjellen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

CT2572 Issued in CT

Practice address

1166 Farmington Ave.
Berlin, CT 06037-2302

Phone

(860) 829-8939

Fax

(860) 829-8938

NPI assigned

Jul 16, 2006

Last updated

Jun 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ratchford Eye Center LLCGroup PAC ID 0244245728, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.24 of 100Reported as group

Quality

100

Improvement activities

40

Cost

77.48

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: bkjellen@ratchfordeye.intellechartdirect.net

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.

• Ratchford Eye Center LLC

  • Ophthalmology Physician
  • Berlin, CT
  • NPI 1003995077
  Medicare reassignment Care Compare group
• Starling Physicians, PLLC

  • Internal Medicine Physician
  • Rocky Hill, CT
  • NPI 1467537290
  Medicare reassignment
• Professional Eyecare Associates, LLC

  • Optometrist
  • Milford, CT
  • NPI 1508089202
  NPD (past)
• PTC Optical Inc.

  dba Pearle Vision Center

  • Optician
  • Milford, CT
  • NPI 1689794851
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1053338046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 FARMINGTON AVE.",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060372302",
            "telephone_number": "860-829-8939",
            "fax_number": "860-829-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 FARMINGTON AVE.",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060372302",
            "telephone_number": "860-829-8939",
            "fax_number": "860-829-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KJELLEN",
        "first_name": "BRETT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "CT2572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bkjellen@ratchfordeye.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "Ratchford Eye Center LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1166 Farmington Ave.",
            "city": "Berlin",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060372302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Keepmehome LLC (KeepMeHome)
• Morgan Kelly
• Kelsey Hale LPC LLC
• Megan Kennedy
• Kensington Opticians LLC
• Alyssa Kniering, LPC
• Nicholas Thomas Kolosky, BA
• Thomas Gary Lapointe, D.P.M.
• Elle Grace Lascola
• Laughing Moon, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.