Killingly Eye Care P.C.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

864 Issued in CT

Legal business name

KILLINGLY EYE CARE P.C.

Practice address

25 Green Hollow Rd
Danielson, CT 06239-3509

Phone

(860) 779-1588

Fax

(860) 779-1754

NPI assigned

Sep 21, 2006

Last updated

Oct 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James L Boccuzzi, O.D.NPI 1578544532

Title

President

Phone

(860) 779-1588

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bethany Grace Arabic

  • Optometrist
  • Uncasville, CT
  • NPI 1386534014
  Medicare reassignment Care Compare group NPD
• Gemma Soliman Stirba, OD

  • Optometrist
  • Danielson, CT
  • NPI 1790701878
  Medicare reassignment Care Compare group NPD
• Paul R Shepherd, O.D.

  • Optometrist
  • Leominster, MA
  • NPI 1558648279

  CT

  Medicare reassignment Care Compare group NPD
• Lacy C Birdseye, APRN

  • Family Nurse Practitioner
  • Fairfield, CT
  • NPI 1972872463
  Medicare reassignment NPD
• Aarlan Vincent Aceto, OD

  • Optometrist
  • Downers Grove, IL
  • NPI 1013064385

  CT

  Medicare reassignment NPD
• James L Boccuzzi, OD

  • Optometrist
  • Danielson, CT
  • NPI 1578544532
  Authorized official Same address or phone

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1255439188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 GREEN HOLLOW RD",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "062393509",
            "telephone_number": "860-779-1588",
            "fax_number": "860-779-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 GREEN HOLLOW RD",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "062393509",
            "telephone_number": "860-779-1588",
            "fax_number": "860-779-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILLINGLY EYE CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "BOCCUZZI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-779-1588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CT",
            "license": "864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Susan Kershaw-Sczuroski, LCSW, LICSW
• Angela S Kilbride, LMSW
• Lindsay Knapp, LMFT
• Deborah Kozisek
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• Erik Lachendro
• David Joseph Lambert, DVM

• Corneal and Contact Management Optometrist in Danielson, CT
• Providers in Danielson, CT by specialty
• Corneal and Contact Management Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.