Active NPI
Pamela Carol Malchoff, O.D.
- Optometrist
- Avon, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 002855
- Practice address
- 18 W Avon Rd
Avon, CT 06001-3583 - Phone
- (860) 675-3937
- Fax
- (860) 673-2555
- NPI assigned
- Jul 1, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 002855 | CT | Primary |
Addresses
Primary practice location
18 W Avon Rd
Avon, CT 06001-3583
Mailing address
18 W Avon Rd
Avon, CT 06001-3583
Phone (860) 675-3937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY, MN, MD, IL, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 6
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150508001893 | CT | Practitioner - Optometry | 7214184019 | Reassigns benefits to 3 organizations |
| I20250513001857 | NY | Practitioner - Optometry | 7214184019 | Reassigns benefits to 1 organization |
| I20250612000115 | MN | Practitioner - Optometry | 7214184019 | Reassigns benefits to 1 organization |
| I20250818004251 | MD | Practitioner - Optometry | 7214184019 | Reassigns benefits to 2 organizations |
| I20251112001886 | IL | Practitioner - Optometry | 7214184019 | Reassigns benefits to 2 organizations |
| I20260210000939 | DC | Practitioner - Optometry | 7214184019 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
20 Waterside Dr
Suite 102
Farmington, CT 06032-3090
Phone (860) 674-0307
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011160 | NY | MD | Surgical Physician Assistant |
| 002855 | CT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Christina J. Levi O D P C | Optometrist | Current | Accepting new patients |
| Villacis Eyecare IV, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Empire Vision Center, Inc | Current | Accepting new patients | |
| Visionworks, Inc | Current | Accepting new patients | |
| Raffaele Inc | Current | Accepting new patients | |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Empire Vision Center Inc | Optometrist | Current | Accepting new patients |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Christina J. Levi O D P C | Optometrist | Past | Accepting new patients |
| Visionworks Inc. | Past | Accepting new patients | |
| Waterford Optometric PC | Optometrist | Past | Accepting new patients |
Locations
20 Waterside Dr
Ste 102
Farmington, CT 06032
Phone (860) 674-0307
2100 Dixwell Ave
Hamden, CT 06514
Phone (203) 230-8019
134 E Blackhawk Dr
Byron, IL 61010
Phone (815) 234-2020
2100 Troy Rd
Edwardsville, IL 62025
Phone (618) 656-8888
6570 N Illinois St
Ste A
Fairview Heights, IL 62208
Phone (618) 628-3502
239 Golf Mill Ctr
Ste 255
Niles, IL 60714
Phone (847) 297-2286
2422 US Highway 34
Oswego, IL 60543
Phone (630) 551-4133
169 Jennifer Rd
Ste D
Annapolis, MD 21401
Phone (410) 224-0021
6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206
6804 Race Track Rd
Bowie, MD 20715
Phone (301) 262-1210
23415 Three Notch Rd
Ste 1101
California, MD 20619
Phone (301) 862-1896
10112 York Rd
Cockeysville, MD 21030
Phone (410) 628-5350
5509 Urbana Pike
Frederick, MD 21704
Phone (301) 622-0660
19814 Century Blvd
Germantown, MD 20874
Phone (301) 540-1200
10101 Colesville Rd
Silver Spring, MD 20901
Phone (301) 466-8439
2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919
1178 Burnsville Ctr
#2036
Burnsville, MN 55306
Phone (952) 435-5011
2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241
560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090
1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200
1663 E Henrietta Rd
Rochester, NY 14623
Phone (585) 424-7000
2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150
2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 17
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.
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- Optometrist
- Bowie, MD
- NPI 1164311833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341100800000",
"number": "1306100664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 W AVON RD",
"city": "AVON",
"state": "CT",
"postal_code": "060013583",
"telephone_number": "860-675-3937",
"fax_number": "860-673-2555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 W AVON RD",
"city": "AVON",
"state": "CT",
"postal_code": "060013583",
"telephone_number": "860-675-3937",
"fax_number": "860-673-2555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALCHOFF",
"first_name": "PAMELA",
"middle_name": "CAROL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-01",
"last_updated": "2012-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "002855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.