Individual provider Active NPI

Kerry K O'Neal, OD

  • Optometrist
  • Glastonbury, CT
National Provider Identifier
1487673349
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002464 Issued in CT
Practice address
221 Addison Rd Ste 105
Glastonbury, CT 06033-5608
Phone
(860) 838-3838
Fax
(860) 838-3840
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002464 CT Primary

Addresses

Primary practice location

221 Addison Rd Ste 105
Glastonbury, CT 06033-5608

Mailing address

221 Addison Rd Ste 105
Glastonbury, CT 06033-5608
Phone (860) 838-3838

Other identifiers 1

IdentifierTypeStateIssuer
1487673349MedicaidCT

Other names 1

  • Kerry Oneal Other name

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
I20080326000337 CT Practitioner - Optometry 3577649987 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002464CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oculusdocs, LLC Optometrist CurrentSince Aug 25, 2025 Accepting new patients
Professional Eyecare, LLC Optometrist CurrentSince Oct 15, 2009 Accepting new patients

Locations

221 Addison Rd
Ste 105
Glastonbury, CT 06033
Phone (860) 838-3838

131 Boston Post Rd
Ste 4
Waterford, CT 06385
Phone (860) 442-1167

Organizations & group practices 2

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1487673349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 ADDISON RD STE 105",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060335608",
            "telephone_number": "860-838-3838",
            "fax_number": "860-838-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 ADDISON RD STE 105",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060335608",
            "telephone_number": "860-838-3838",
            "fax_number": "860-838-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "KERRY",
        "middle_name": "K",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487673349",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRY",
            "last_name": "ONEAL",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.