John Nicholas Sienko, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

914 Issued in CT

Practice address

821 N Main Street Ext
Wallingford, CT 06492-2464

Phone

(203) 265-5152

Fax

(203) 265-1562

NPI assigned

Nov 9, 2006

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

Other identifiers 1

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

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 and National Provider Directory roles.

• Wallingford Eye Care Center P.C.

  • Optometrist
  • Wallingford, CT
  • NPI 1053521419
  Medicare reassignment NPD

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1194895524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "SIENKO",
        "first_name": "JOHN",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004-08-1262",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Elizabeth Sherman
• Jason Edmond Sherman, LADC
• Shift Wellness LLC
• Alyse Sicklick, MD
• Patrick Siegele, MD
• Silent Waters Therapeutic Services LLC
• Maria Joao Silva, LCSW
• Paula Silva
• Jenna M Silvestro, OT/L
• Theresa Naomima Simbolon, LPC

• Optometrist in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.