Priscilla Kuo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3104 Issued in CT

Practice address

844 N Colony Rd
Wallingford, CT 06492-2771

Phone

(203) 265-6698

NPI assigned

Jun 13, 2019

Last updated

Jun 13, 2019By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1700445632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 KYLE LN",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065167925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 N COLONY RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922771",
            "telephone_number": "203-265-6698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Turnpike Sq",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "CT",
            "postal_code": "064602758",
            "country_code": "US",
            "telephone_number": "203-878-3098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3164 Berlin Tpke",
            "address_purpose": "LOCATION",
            "city": "Newington",
            "state": "CT",
            "postal_code": "061114627",
            "country_code": "US",
            "telephone_number": "860-667-1302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUO",
        "first_name": "PRISCILLA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "doceyewallingford@gmail.com",
            "affiliation": "N",
            "address_1": "844 N Colony Rd",
            "city": "Wallingford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064922771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karole J. Kreutter, PH.D.
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• Sylvia Lack, M.D.
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• Maureen Lagasse

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.