Individual provider Active NPI

Grace Whalen, OD

  • Optometrist
  • Vernon, CT
National Provider Identifier
1144116443
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3401 Issued in CT
Practice address
35 Talcottville Rd
Vernon, CT 06066-5261
Phone
(978) 208-2390
NPI assigned
Jun 16, 2025
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3401 CT Primary

Addresses

Primary practice location

35 Talcottville Rd
Vernon, CT 06066-5261

Mailing address

35 Talcottville Rd
Vernon, CT 06066-5261

Other practice location 1

850 Washington St
Middletown, CT 06457-2912
Phone (978) 208-2390

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
I20260507000537 CT Practitioner - Optometry 2769950872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Eye LLCGroup PAC ID 5496163545, 10 clinicians

Practice addresses (Care Compare)

35 Talcottville Rd
Vernon, CT 06066-5261
Phone (860) 870-6337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3401CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
City Eye, LLC Optometrist PastSince Apr 18, 2026 Accepting new patients

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, 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": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1144116443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 TALCOTTVILLE RD",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 TALCOTTVILLE RD",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665261",
            "telephone_number": "978-208-2390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Washington St",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "CT",
            "postal_code": "064572912",
            "country_code": "US",
            "telephone_number": "978-208-2390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "GRACE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.