Individual provider Active NPI

David Edward Palozej

  • Optometrist
  • Tolland, CT
National Provider Identifier
1891834313
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002101 Issued in CT
Practice address
384A Merrow Rd Ste a
Tolland, CT 06084-3917
Phone
(860) 870-4632
Fax
(870) 870-4634
NPI assigned
Feb 5, 2007
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002101 CT Primary

Addresses

Primary practice location

384A Merrow Rd Ste a
Tolland, CT 06084-3917

Mailing address

12 Goose LN
Tolland, CT 06084-3400
Phone (860) 870-4632

Other identifiers 1

IdentifierTypeStateIssuer
004082781MedicaidCT

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
I20101007000203 CT Practitioner - Optometry 6002873668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David E. Palozej Eyecare Associates, LLCGroup PAC ID 8224095872, 4 clinicians

Practice addresses (Care Compare)

384 Merrow Rd
Suite a
Tolland, CT 06084-3972
Phone (860) 870-4632

72 W Stafford Rd
II
Stafford Springs, CT 06076-1000
Phone (860) 684-2191

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002101CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
David E. Palozej Eyecare Associates, LLC Optometrist CurrentSince May 15, 2001 Accepting new patients
David E. Palozej Eyecare Associates, LLC Optometrist CurrentSince Jun 1, 2001 Accepting new patients

Locations

72 W Stafford Rd
Stafford Springs, CT 06076
Phone (860) 684-2191

12 Goose Ln
Tolland, CT 06084
Phone (860) 870-4632

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1891834313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GOOSE LN",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060843400",
            "telephone_number": "860-870-4632",
            "fax_number": "870-870-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384A MERROW RD STE A",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060843917",
            "telephone_number": "860-870-4632",
            "fax_number": "870-870-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOZEJ",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004082781",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tolland, CT

Sources for this page

Verify at the official NPI Registry.