Jessica Fretto, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3717 Issued in CT

Practice address

1041 Poquonnock Rd
Groton, CT 06340-2201

Phone

(860) 445-1000

NPI assigned

Oct 15, 2020

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

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

State University of New York - State College Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kallinen Eye Care LLCGroup PAC ID 3779814181, 3 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 and National Provider Directory roles.

• Kallinen Eye Care, LLC

  • Optometrist
  • Groton, CT
  • NPI 1114582129
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1063010668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 POQUONNOCK RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063402201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 POQUONNOCK RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063402201",
            "telephone_number": "860-445-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRETTO",
        "first_name": "JESSICA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Hill Pharmacy Inc
• Fort Hill Pharmacy Inc
• Fort Hill Pharmacy, Inc.
• Mason Cleary Ditthardt Fortuno, DMD
• Brian Charles Fournier
• George Charles Fricke
• James Joseph Fritz, MD
• Alexandra Frobel, MFT
• Lynn M Gagner, D.C.
• Jessica M Gagnon, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.