Individual provider Active NPI

Caitrin E Herdic, OD

  • Ophthalmology Physician
  • Newington, CT
National Provider Identifier
1467894238
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
TUV008552-1 Issued in NY
Practice address
485 Willard Ave
Totalvision Eye Health Center
Newington, CT 06111-2318
Phone
(860) 666-7053
NPI assigned
Jul 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X TUV008552-1 NY Primary

Addresses

Primary practice location

485 Willard Ave
Totalvision Eye Health Center
Newington, CT 06111-2318

Mailing address

71 Smithfield Blvd
Plattsburgh, NY 12901-2136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20170414000452 NY Practitioner - Optometry 3375779424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Juli a Larson MD PLLCGroup PAC ID 3870851520, 2 clinicians

Practice addresses (Care Compare)

71 Smithfield Blvd
Plattsburgh, NY 12901-2136
Phone (877) 468-8393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008552-1NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Juli a. Larson MD PLLC Ophthalmology CurrentSince May 1, 2024 Accepting new patients
Juli a Larson PC Vermont Eye Associates PastSince Jul 1, 1993 Accepting new patients
Firstview Eye Care Associates Optometrist PastSince Jun 1, 2017 Accepting new patients

Locations

71 Smithfield Blvd
Plattsburgh, NY 12901
Phone (802) 862-1808

1100 Hinesburg Rd
#201
South Burlington, VT 05403
Phone (802) 862-1808

Organizations & group practices 3

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": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1467894238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 SMITHFIELD BLVD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 WILLARD AVE",
            "address_2": "TOTALVISION EYE HEALTH CENTER",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112318",
            "telephone_number": "860-666-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERDIC",
        "first_name": "CAITRIN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "TUV008552-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

Verify at the official NPI Registry.