Sean D. McKeown, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002414 Issued in CT

Practice address

16 Walnut St
Willimantic, CT 06226-2315

Phone

(860) 423-2565

NPI assigned

Oct 2, 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

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

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tricounty Vision Associates, L.L.C.Group PAC ID 2961594593, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Tricounty Vision Associates, L.L.C.

  • Optometrist
  • Willimantic, CT
  • NPI 1689759052
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240185600000",
    "number": "1215020367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WALNUT ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262315",
            "telephone_number": "860-423-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WALNUT ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262315",
            "telephone_number": "860-423-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEOWN",
        "first_name": "SEAN",
        "middle_name": "D.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam R Matthew
• Roy W. Maynard, P.T.
• Christine Nilson McCarthy, N.P.
• Mark McGuinness, LCSW
• Mychael Adrianna McKeever, DMD
• Ashlee McKinney
• Deborah A McLeod
• Lynne Marie McPhee, RD, CDE, CDN
• Walter Thomas McPhee Jr., MD
• McSweeney Regional Senior Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.