Active NPI
Robert R Palozej, O.D.
- Sports Vision Optometrist
- Ellington, CT
National Provider Identifier
1477513851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Vision Optometrist
- License
- 000929
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061615194 0002 | Other | CT | CIGNA |
| 4258 | Other | CT | CONNECTICARE |
| P381699 | Other | CT | OXFORD |
| 50RPALOZECT01 | Other | CT | ANTHEM |
| PR50304310001 | Other | CT | CIGNA |
| 722718 | Other | CT | CONNECTICARE |
| 56090000929CT2 | Other | CT | ANTHEM |
| 0004236477 | Other | CT | AETNA |
| 2501130 | Other | CT | AETNA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 929 | CT | MD | Addiction (Substance Use Disorder) Counselor |
| 000929 | CT | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert R Palozej OD, LLC | Optometrist | Current | 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.
-
- Optometrist
- Ellington, CT
- NPI 1750551552
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.