Individual provider Active NPI

Domenico Trocchi, OD

  • Optometrist
  • Waterbury, CT
National Provider Identifier
1497865729
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CT-2301 Issued in CT
Practice address
481 Wolcott St
Waterbury, CT 06705-1247
Phone
(203) 753-5665
Fax
(203) 757-8886
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CT-2301 CT Primary

Addresses

Primary practice location

481 Wolcott St
Waterbury, CT 06705-1247

Mailing address

481 Wolcott St
Waterbury, CT 06705-1247
Phone (203) 753-5665

Other identifiers 1

IdentifierTypeStateIssuer
906159/004753MedicaidCO

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
I20111031000416 CT Practitioner - Optometry 6608049085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

481 Wolcott St
Waterbury, CT 06705-1247
Phone (203) 753-5665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CT-2301CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Trocchi Family Optometry Optometrist CurrentSince Jan 1, 1998 Accepting new patients

Locations

481 Wolcott St
Wolcott, CT 06705
Phone (203) 261-1162

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497865729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 WOLCOTT ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067051247",
            "telephone_number": "203-753-5665",
            "fax_number": "203-757-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 WOLCOTT ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067051247",
            "telephone_number": "203-753-5665",
            "fax_number": "203-757-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROCCHI",
        "first_name": "DOMENICO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "CT-2301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "906159/004753",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.