Individual provider Active NPI

Linda Caliolo, O.D.

  • Optometrist
  • Wallingford, CT
National Provider Identifier
1164567921
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2262 Issued in CT
Practice address
930 N Colony Rd
Suite I
Wallingford, CT 06492-2471
Phone
(203) 265-4362
Fax
(203) 265-0415
NPI assigned
Feb 20, 2007
Last updated
Aug 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2262 CT Primary

Addresses

Primary practice location

930 N Colony Rd
Suite I
Wallingford, CT 06492-2471

Mailing address

930 N Colony Rd
Suite I
Wallingford, CT 06492-2471
Phone (203) 265-4362

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
I20081105000758 CT Practitioner - Optometry 1153480157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TLC Eye Care, LLCGroup PAC ID 6103985114, 2 clinicians

Practice addresses (Care Compare)

930 N Colony Rd
Suite I
Wallingford, CT 06492-2471
Phone (203) 265-4362

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002262CTMDPsychologist
2262CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Eye Care, LLC Optometrist CurrentSince Sep 15, 2008 Accepting new patients
Colony Opticians Optometrist Past Accepting new patients

Locations

930 N Colony Rd
Ste I
Wallingford, CT 06492
Phone (203) 265-4362

Organizations & group practices 2

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1164567921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 N COLONY RD",
            "address_2": "SUITE I",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922471",
            "telephone_number": "203-265-4362",
            "fax_number": "203-265-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N COLONY RD",
            "address_2": "SUITE I",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922471",
            "telephone_number": "203-265-4362",
            "fax_number": "203-265-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALIOLO",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

Verify at the official NPI Registry.