Marc Bruce Kallinen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2899 Issued in CT

Practice address

1041 Poquonnock Rd
Groton, CT 06340-4211

Phone

(860) 445-1000

Fax

(860) 445-3347

NPI assigned

Aug 6, 2013

Last updated

May 16, 2019By the provider in NPPES

Sex

Male

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

Pennsylvania College of Optometry, 2013

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kallinen Eye Care, LLC

  dba Groton Eye Center

  • Optometrist
  • Groton, CT
  • NPI 1114582129
  Medicare reassignment Care Compare group NPD Authorized official
• King Family Eye Care, LLC

  • Optometrist
  • Old Saybrook, CT
  • NPI 1508925330
  Medicare reassignment NPD
• Your Eyes of New Britain

  • Optician
  • New Britain, CT
  • NPI 1467614347
  NPD (past)

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1184056640",
    "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": "063404211",
            "telephone_number": "860-445-1000",
            "fax_number": "860-445-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 POQUONNOCK RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404211",
            "telephone_number": "860-445-1000",
            "fax_number": "860-445-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLINEN",
        "first_name": "MARC",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-06",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Lyn Joslyn
• Julie B. Bean, LLC
• Zachary J. Jupin, PA-C
• Kaileah Christie-Fogg, LLC
• Kallinen Eye Care, LLC (Groton Eye Center)
• Dean Kang, PHARM.D.
• Lauren Kapell
• Tamazur Karim
• Nancy Chapman Kastner, BS
• Diane Kearney

• 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 May 16, 2019; 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.