Kenneth H Elder, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2591 Issued in CT

Practice address

821 N Main Street Ext
Wallingford, CT 06492-2464

Phone

(203) 265-5152

Fax

(203) 265-1562

NPI assigned

Nov 14, 2006

Last updated

Sep 30, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wallingford Eye Care Center P.C.Group PAC ID 5193812733, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wallingford Eye Care Center P.C.

  • Optometrist
  • Wallingford, CT
  • NPI 1053521419
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1922170224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 NORTH MAIN STREET EXT",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924203",
            "telephone_number": "203-265-5152",
            "fax_number": "203-265-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N MAIN STREET EXT",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922464",
            "telephone_number": "203-265-5152",
            "fax_number": "203-265-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDER",
        "first_name": "KENNETH",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myles O Eady, D.D.S.
• Jerry Edouard
• Paul Efthymiou, PHARM.D.
• Vicki Ehrlich, M.D.
• Abdel-Halim M El-Sayed, PHD, RPH
• Alicia Anne Eldridge
• Peter Mark Anthony Ellison Jr., DPT
• Robert W. Elwell Jr., MD
• Heidi Elise Emack, OTR/L
• Ember and Bloom Counseling

• 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 Sep 30, 2026; 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.
• 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.