Individual provider Active NPI

Chris Apicelli, OD

  • Optometrist
  • East Lyme, CT
National Provider Identifier
1285475160
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3340 Issued in CT
Practice address
15 Chesterfield Rd
East Lyme, CT 06333-1730
Phone
(860) 739-5110
NPI assigned
Jun 4, 2024
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3340 CT Primary

Addresses

Primary practice location

15 Chesterfield Rd
East Lyme, CT 06333-1730

Mailing address

43 Spring Rock Rd
East Lyme, CT 06333-1451
Phone (860) 326-8550

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
I20240917001232 CT Practitioner - Optometry 9436690542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors Optometrists PLLCGroup PAC ID 3375606940, 6 clinicians

Practice addresses (Care Compare)

1 High St
Deep River, CT 06417-1966
Phone (860) 526-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003340CTMDClinical Psychologist
3340CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Totalvision Eye Health Center LLC Optometrist CurrentSince Aug 10, 2024 Accepting new patients
Total Vision-Eye Health Center LLC Optometrist Current Accepting new patients
Total Vision-Eye Health Center LLC Optometrist CurrentSince Aug 10, 2024 Accepting new patients
Eye Doctors Optometrists PLLC Optometrist CurrentSince Aug 10, 2024 Accepting new patients

Locations

1 High St
Deep River, CT 06417
Phone (860) 388-2020

200 Village Walk
Ste B
Guilford, CT 06437
Phone (203) 458-2020

200B Village Walk
Guilford, CT 06437
Phone (203) 458-2020

12 Coogan Blvd
Mystic, CT 06355
Phone (860) 415-9292

485 Willard Ave
Newington, CT 06111
Phone (860) 666-7053

1156 Boston Post Rd
Old Saybrook, CT 06475
Phone (860) 388-2020

1920 Norwich New London Tpke
Uncasville, CT 06382
Phone (860) 848-8777

Organizations & group practices 4

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": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1285475160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 SPRING ROCK RD",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331451",
            "telephone_number": "860-326-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CHESTERFIELD RD",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331730",
            "telephone_number": "860-739-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APICELLI",
        "first_name": "CHRIS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lyme, CT

Sources for this page

Verify at the official NPI Registry.