Individual provider Active NPI

Andrew J Sokolik, OD

  • Optometrist
  • Wethersfield, CT
National Provider Identifier
1255434734
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CT770 Issued in CT
Practice address
185 Silas Deane Hwy
Wethersfield, CT 06109-1219
Phone
(860) 296-1700
Fax
(860) 296-8341
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CT770 CT Primary

Addresses

Primary practice location

185 Silas Deane Hwy
Wethersfield, CT 06109-1219

Mailing address

185 Silas Deane Hwy
Wethersfield, CT 06109-1219
Phone (860) 296-1700

Other identifiers 3

IdentifierTypeStateIssuer
45517OtherAETNA
090000770CT01OtherANTHEM BC
004024279MedicaidCT

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
I20071106000103 CT Practitioner - Optometry 3476640681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optometric Specialty Group of Wethersfield, PLLCGroup PAC ID 4183975014, 2 clinicians

Practice addresses (Care Compare)

185 Silas Deane Hwy
Suite 1
Wethersfield, CT 06109-1219
Phone (860) 296-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CT770CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Specialty Group of Wethersfield, PLLC Optometrist CurrentSince Jun 23, 2018 Accepting new patients
Optometric Specialty Group Limited Liability Company Optometrist PastSince Jun 23, 2018 Accepting new patients

Locations

185 Silas Deane Hwy
Ste 1
Wethersfield, CT 06109
Phone (860) 296-1700

185 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 296-1700

Organizations & group practices 2

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1255434734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091219",
            "telephone_number": "860-296-1700",
            "fax_number": "860-296-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091219",
            "telephone_number": "860-296-1700",
            "fax_number": "860-296-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKOLIK",
        "first_name": "ANDREW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "CT770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "45517",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC",
            "identifier": "090000770CT01",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004024279",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

Verify at the official NPI Registry.