Active NPI
Christopher M Inclima, O.D.
- Optometrist
- West Haven, CT
National Provider Identifier
1063474575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2312
- Practice address
- 415 Main St
West Haven, CT 06516-4296 - Phone
- (203) 934-5126
- Fax
- (203) 932-2020
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2312 | CT | Primary |
Addresses
Primary practice location
415 Main St
West Haven, CT 06516-4296
Mailing address
415 Main St
West Haven, CT 06516-4296
Phone (203) 934-5126
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| O.D.0V0550 | Other | CT | HEALTHNET |
| 0420939002 | Other | CT | CIGNA |
| P378085 | Other | CT | OXFORD |
| 4335533 | Other | CT | AETNA |
| 004123882 | Medicaid | CT | |
| 090002312CT01 | Other | CT | ANTHEM |
| 22-04190 | Other | CT | UNITED HEALTHCARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
415 Main St
West Haven, CT 06516-4296
Phone (203) 934-5126
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inclima Eye Care, LLC | Optometrist | Current | Accepting new patients |
Locations
415 Main St
West Haven, CT 06516
Phone (203) 931-1184
Interoperability endpoints
- direct@inclimaeyecarellcwesthavenct.compulinkdirect.com
Organizations & group practices 1
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.
-
- Optometrist
- West Haven, CT
- NPI 1821166703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279065600000",
"number": "1063474575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 MAIN ST",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065164296",
"telephone_number": "203-934-5126",
"fax_number": "203-932-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 MAIN ST",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065164296",
"telephone_number": "203-934-5126",
"fax_number": "203-932-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INCLIMA",
"first_name": "CHRISTOPHER",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2010-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "2312",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "O.D.0V0550",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0420939002",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P378085",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4335533",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004123882",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "090002312CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "22-04190",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.