Organization Active NPI

Trocchi Family Optometry

  • Optometrist
  • Waterbury, CT
National Provider Identifier
1699968073
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CT2301 Issued in CT
Legal business name
TROCCHI FAMILY OPTOMETRY
Practice address
481 Wolcott St
Waterbury, CT 06705-1247
Phone
(203) 757-8886
NPI assigned
Aug 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Domenico TrocchiNPI 1497865729
Title
Office Assistant
Phone
(203) 753-5665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X CT2301 CT Primary

Addresses

Primary practice location

481 Wolcott St
Waterbury, CT 06705-1247

Mailing address

481 Wolcott St
Waterbury, CT 06705-1247
Phone (203) 757-8886

Other identifiers 1

IdentifierTypeStateIssuer
C02265OtherCLINIC NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111031000385 CT Part B Supplier - Clinic/Group Practice 9436322815 Receives reassigned benefits from 1 practitioner
Practice locations: Waterbury, CT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2067285Trocchi Family Optometry, LLC481 Wolcott St, Waterbury, CT 06705Certificate of waiverOct 10, 2027

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1699968073",
    "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": "203-757-8886"
        },
        {
            "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": "203-757-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROCCHI FAMILY OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "TROCCHI",
        "authorized_official_first_name": "DOMENICO",
        "authorized_official_title_or_position": "OFFICE ASSISTANT",
        "authorized_official_telephone_number": "203-753-5665"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "CT2301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC NUMBER",
            "identifier": "C02265",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.