Vicky Katherine Yiannoulis

Primary specialty

OptometristTaxonomy code 152W00000X

License

3072 Issued in CT

Practice address

555 Willard Ave
Newington, CT 06111

Phone

(860) 666-6951

NPI assigned

Apr 2, 2018

Last updated

Sep 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

New England College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oec Waterbury LLCGroup PAC ID 3173805116, 3 clinicians

Oec Derby LLCGroup PAC ID 6507252921, 4 clinicians

Oronoque Eye Care Inc.Group PAC ID 3870505951, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vicky.yiannoulis.p10@direct.360care.nextgenshare.com

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.

• Oec Derby LLC

  • Optometrist
  • Derby, CT
  • NPI 1275287005
  Medicare reassignment Care Compare group NPD
• Oec Waterbury LLC

  • Optometrist
  • Waterbury, CT
  • NPI 1477097285
  Medicare reassignment Care Compare group NPD
• Oronoque Eye Care Inc.

  • Optometrist
  • Stratford, CT
  • NPI 1801834247
  Medicare reassignment Care Compare group NPD
• Peter J. Stein LLC

  dba eyeworks CT

  • Eyewear Supplier
  • Derby, CT
  • NPI 1326216771
  NPD

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1225534936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 WILLARD AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 WILLARD AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "06111",
            "telephone_number": "860-666-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIANNOULIS",
        "first_name": "VICKY",
        "middle_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Wortham, LCSW
• James Woznicki, PT
• Maria Wren, M.S.W., L.C.S.W
• Karolina A. Wytrykowska, LPC, LADC
• Turgut Yetil, M.D.
• Cassandra Ruth Young, O.D.
• Marci Zannotti, PT
• Ashley Zapata, SLP
• Matthew Zaringhalam, MD
• Ross Edward Zeldes, OD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.