Individual provider Active NPI

Karlee Muller, OD

  • Optometrist
  • East Haven, CT
National Provider Identifier
1255838991
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3077 Issued in CT
Practice address
64 Thompson St Ste B104
East Haven, CT 06513-5701
Phone
(203) 469-1012
NPI assigned
Apr 10, 2018
Last updated
Dec 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3077 CT Primary

Addresses

Primary practice location

64 Thompson St Ste B104
East Haven, CT 06513-5701

Mailing address

23 Lexington GDNS
North Haven, CT 06473-3473
Phone (203) 627-3953

Other practice location 1

555 Willard Ave
Newington, CT 06111
Phone (860) 666-6951

Other practice location 2

1347 Boston Post Rd
Madison, CT 06443-3475
Phone (203) 245-8567

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
I20200218002850 CT Practitioner - Optometry 6406283100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Vision Center, LLCGroup PAC ID 0446390462, 2 clinicians

Practice addresses (Care Compare)

64 Thompson St
Suite B104
East Haven, CT 06513-5701
Phone (203) 469-1012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3077CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Vision Center, LLC Optometrist CurrentSince Dec 23, 2019 Accepting new patients

Locations

64 Thompson St
Ste B104
East Haven, CT 06513
Phone (203) 469-1012

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1255838991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 LEXINGTON GDNS",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733473",
            "telephone_number": "203-627-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 THOMPSON ST STE B104",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065135701",
            "telephone_number": "203-469-1012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Willard Ave",
            "address_purpose": "LOCATION",
            "city": "Newington",
            "state": "CT",
            "postal_code": "06111",
            "country_code": "US",
            "telephone_number": "860-666-6951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1347 Boston Post Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "CT",
            "postal_code": "064433475",
            "country_code": "US",
            "telephone_number": "203-245-8567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLER",
        "first_name": "KARLEE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Haven, CT

Sources for this page

Verify at the official NPI Registry.