Individual provider Active NPI

Janine M Albanese, O.D.

  • Optometrist
  • Wallingford, CT
National Provider Identifier
1174964076
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2948 Issued in CT
Practice address
821 N Main Street Ext
Wallingford, CT 06492-2464
Phone
(203) 265-5152
Fax
(203) 265-1562
NPI assigned
Jul 9, 2013
Last updated
May 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2948 CT Primary

Addresses

Primary practice location

821 N Main Street Ext
Wallingford, CT 06492-2464

Mailing address

33 West 42ND St
Suny College of Optometry
New York, NY 10036
Phone (212) 938-5836

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
I20170622001925 CT Practitioner - Optometry 5294960324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wallingford Eye Care Center P.C.Group PAC ID 5193812733, 4 clinicians

Practice addresses (Care Compare)

821 N Main St Ext
Wallingford, CT 06492-2464
Phone (203) 265-5152

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008042NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wallingford Eye Care Center P.C. Optometrist CurrentSince Jul 31, 2017 Accepting new patients

Locations

821 N Main Street Ext
Wallingford, CT 06492
Phone (203) 265-5152

821 N Main Street Ext
Ste 1
Wallingford, CT 06492

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": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1174964076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 WEST 42ND ST",
            "address_2": "SUNY COLLEGE OF OPTOMETRY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10036",
            "telephone_number": "212-938-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N MAIN STREET EXT",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922464",
            "telephone_number": "203-265-5152",
            "fax_number": "203-265-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBANESE",
        "first_name": "JANINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

Verify at the official NPI Registry.