Active NPI
Caitrin E Herdic, OD
- Ophthalmology Physician
- Newington, CT
National Provider Identifier
1467894238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- TUV008552-1
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| TUV008552-1 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Juli a. Larson MD PLLC | Ophthalmology | Current | Accepting new patients |
| Juli a Larson PC Vermont Eye Associates | Past | Accepting new patients | |
| Firstview Eye Care Associates | Optometrist | Past | 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.
-
- Ophthalmology Physician
- Plattsburgh, NY
- NPI 1356852644
-
- Optometrist
- Plattsburgh, NY
- NPI 1437108529
-
- Ophthalmologic Surgery Clinic/Center
- South Burlington, VT
- NPI 1578511945
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.