Individual provider Active NPI

Kristin Simoncelli, O.D.

  • Optometrist
  • Ridgefield, CT
National Provider Identifier
1730614561
Registry record updated Feb 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3042 Issued in CT
Practice address
96 Danbury Rd
Ridgefield, CT 06877-4069
Phone
(203) 438-5855
NPI assigned
Apr 30, 2017
Last updated
Feb 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3042 CT Primary

Addresses

Primary practice location

96 Danbury Rd
Ridgefield, CT 06877-4069

Mailing address

96 Danbury Rd
Ridgefield, CT 06877-4069
Phone (203) 438-5855

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
I20180614000442 CT Practitioner - Optometry 8123373271 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgefield Family Eye Care PCGroup PAC ID 8022909803, 2 clinicians

Practice addresses (Care Compare)

96 Danbury Rd
Ridgefield, CT 06877-4069
Phone (203) 438-5855

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Robbins Eye Center PC CurrentSince Sep 12, 2018 Accepting new patients
Ridgefield Family Eye Care PC Optometrist CurrentSince May 5, 2018 Accepting new patients

Locations

1 Sasco Hill Rd
Ste 202
Fairfield, CT 06824
Phone (203) 221-0545

96 Danbury Rd
Ridgefield, CT 06877
Phone (203) 438-0874

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1493510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708214400000",
    "number": "1730614561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 DANBURY RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774069",
            "telephone_number": "203-438-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 DANBURY RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774069",
            "telephone_number": "203-438-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONCELLI",
        "first_name": "KRISTIN",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-30",
        "last_updated": "2024-02-18",
        "certification_date": "2024-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

Verify at the official NPI Registry.