Individual provider Active NPI

Troy Sanfilippo

  • Optometrist
  • Waterford, CT
National Provider Identifier
1225638463
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3180 Issued in CT
Practice address
131 Boston Post Rd
Waterford, CT 06385-2839
Phone
(860) 442-5058
Fax
(860) 443-4118
NPI assigned
Oct 27, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3180 CT Primary

Addresses

Primary practice location

131 Boston Post Rd
Waterford, CT 06385-2839

Mailing address

131 Boston Post Rd
Waterford, CT 06385-2839
Phone (860) 442-5058

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
I20210611000380 CT Practitioner - Optometry 6507266632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Eyecare LLCGroup PAC ID 9133266679, 2 clinicians

Practice addresses (Care Compare)

131 Boston Post Rd
Suite 4
Waterford, CT 06385-2839
Phone (860) 442-5058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Eyecare, LLC Optometrist CurrentSince Mar 10, 2021 Accepting new patients

Locations

131 Boston Post Rd
Waterford, CT 06385
Phone (850) 442-5058

131 Boston Post Rd
Ste 4
Waterford, CT 06385
Phone (860) 442-1167

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1225638463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 BOSTON POST RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852839",
            "telephone_number": "860-442-5058",
            "fax_number": "860-443-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 BOSTON POST RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852839",
            "telephone_number": "860-442-5058",
            "fax_number": "860-443-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFILIPPO",
        "first_name": "TROY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-27",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, CT

Sources for this page

Verify at the official NPI Registry.