Robert Alan Connors, O.D.
Individual provider Active NPI Optometrist · Wolcott, CT
NPI 1669402913 · NPPES record last updated Jul 18, 2008
Key facts
- NPI
- 1669402913
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 923 (CT)
- Practice address
- 464 Wolcott Road
Wolcott, CT 06716 - Phone
- (203) 879-6444
- Fax
- (203) 879-4290
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- New England College of Optometry, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
464 Wolcott Rd
Wolcott, CT 06716-2626
Phone (203) 879-6444
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091105000038 | CT | Practitioner - Optometry | 8022156447 | Practice locations: Wolcott, CT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 923 | CT | Yes |
Addresses
Primary practice location
464 Wolcott Road
Wolcott, CT 06716
Mailing address
464 Wolcott Rd
Wolcott, CT 06716-2626
Phone (203) 879-6444
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004048237 | Medicaid | CT |
Other providers in Wolcott, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.