Kimberly Raucci, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3090 Issued in CT

Practice address

775 Main St
Stratford, CT 06615-7406

Phone

(203) 377-2020

NPI assigned

Oct 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Connecticut Professional PLLCGroup PAC ID 1658713797, 12 clinicians

Myeyedr Optometry of Connecticut LLCGroup PAC ID 1557666237, 70 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Myeyedr Optometry of Connecticut, LLC

  • Optometrist
  • Ansonia, CT
  • NPI 1396119194
  Medicare reassignment Care Compare group NPD
• Aeg Connecticut Professional PLLC

  • Optometrist
  • Alton, IL
  • NPI 1023883675

  CT

  Medicare reassignment Care Compare group NPD
• Family Vision Center LLC

  • Optometrist
  • Stratford, CT
  • NPI 1548256647
  Medicare reassignment NPD
• Myeyedr Optometry of Connecticut, LLC

  • Optometrist
  • Avon, CT
  • NPI 1578038824
  NPD
• Myeyedr Optometry of Connecticut, LLC

  • Optometrist
  • Vernon, CT
  • NPI 1992207468
  NPD
• Myeyedr Optometry of Connecticut, LLC

  • Optometrist
  • Greenwich, CT
  • NPI 1639902711
  NPD (past)
• Philip M Perrino P.C.

  • Optometrist
  • New Haven, CT
  • NPI 1982734653
  NPD (past)

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1578030458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CORONA DR",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603514",
            "telephone_number": "203-606-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066157406",
            "telephone_number": "203-377-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUCCI",
        "first_name": "KIMBERLY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andres Ramirez, M.D.
• Randolph Ramirez, MD
• Ramos Nutrition Billing LLC
• George Ramos
• Allison Raucci, OD
• Frank Raviola, DDS
• Orna Rawls, LMFT
• Recovery Network of Programs, Inc.
• Reliacare LLC
• Robert Resnick, D.M.D.

• Optometrist in Stratford, CT
• Providers in Stratford, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.

Verify at the official NPI Registry.