Individual provider Active NPI

Thomas Matthew Arnista, O.D.

  • Optometrist
  • Southington, CT
National Provider Identifier
1811089188
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2025 Issued in CT
Practice address
220 Welch Rd
Southington, CT 06489-1013
Phone
(203) 333-4828
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2025 CT Primary

Addresses

Primary practice location

220 Welch Rd
Southington, CT 06489-1013

Mailing address

220 Welch Rd
Southington, CT 06489-1013
Phone (860) 620-9681

Other identifiers 5

IdentifierTypeStateIssuer
048378OtherCONNECTICARE
090002025CT03OtherBC/BS
004091899MedicaidCT
OV6117OtherHEALTHNET
910556OtherBLOCK/CHN

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
I20120203000086 CT Practitioner - Optometry 7416114467 Reassigns benefits to 2 organizations
Practice locations: Hamden, CT; Southington, CT

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Connecticut Professional PLLC 12 clinicians

Practice addresses (Care Compare)

815 Chapel St
New Haven, CT 06510-3001
Phone (203) 865-6727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002025CTMDClinical Psychologist
2025CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Philip M Perrino P.C. Optometrist CurrentSince Apr 3, 2012 Accepting new patients
Aeg Connecticut Professional PLLC Optometrist CurrentSince May 5, 2024 Accepting new patients
Vision Center Associates LLC Optometrist Past Accepting new patients

Locations

815 Chapel St
New Haven, CT 06510
Phone (203) 644-0038

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1811089188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 WELCH RD",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064891013",
            "telephone_number": "860-620-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WELCH RD",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064891013",
            "telephone_number": "203-333-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNISTA",
        "first_name": "THOMAS",
        "middle_name": "MATTHEW",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "048378",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "090002025CT03",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004091899",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "OV6117",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK/CHN",
            "identifier": "910556",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

Verify at the official NPI Registry.