Individual provider Active NPI

Robert R Palozej, O.D.

  • Sports Vision Optometrist
  • Ellington, CT
National Provider Identifier
1477513851
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Vision OptometristTaxonomy code 152WS0006X
License
000929 Issued in CT
Practice address
19 Pinney St
Ellington, CT 06029-3812
Phone
(860) 875-7336
Fax
(860) 870-4707
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 000929 CT
Corneal and Contact Management Optometrist 152WC0802X 000929 CT
Pediatric Optometrist 152WP0200X 000929 CT
Sports Vision Optometrist 152WS0006X 000929 CT Primary
Vision Therapy Optometrist 152WV0400X 000929 CT
Occupational Vision Optometrist 152WX0102X 000929 CT

Addresses

Primary practice location

19 Pinney St
Ellington, CT 06029-3812

Mailing address

19 Pinney St
Ellington, CT 06029-3812
Phone (860) 875-7336

Other identifiers 9

IdentifierTypeStateIssuer
061615194 0002OtherCTCIGNA
4258OtherCTCONNECTICARE
P381699OtherCTOXFORD
50RPALOZECT01OtherCTANTHEM
PR50304310001OtherCTCIGNA
722718OtherCTCONNECTICARE
56090000929CT2OtherCTANTHEM
0004236477OtherCTAETNA
2501130OtherCTAETNA

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
I20110131000005 CT Practitioner - Optometry 0840479309 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
929CTMDAddiction (Substance Use Disorder) Counselor
000929CTMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Robert R Palozej OD, LLC Optometrist CurrentSince May 14, 2001 Accepting new patients

Locations

19 Pinney St
Ellington, CT 06029
Phone (860) 871-9295

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477513851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 PINNEY ST",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060293812",
            "telephone_number": "860-875-7336",
            "fax_number": "860-870-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 PINNEY ST",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060293812",
            "telephone_number": "860-875-7336",
            "fax_number": "860-870-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOZEJ",
        "first_name": "ROBERT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "000929",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CT",
            "license": "000929",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CT",
            "license": "000929",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "CT",
            "license": "000929",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CT",
            "license": "000929",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "CT",
            "license": "000929",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "061615194 0002",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "4258",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P381699",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "50RPALOZECT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "PR50304310001",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "722718",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "56090000929CT2",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004236477",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2501130",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellington, CT

Sources for this page

Verify at the official NPI Registry.