Individual provider Active NPI

Nicole Christina Aucoin, O.D.

  • Optometrist
  • Middletown, CT
National Provider Identifier
1942641626
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
003232 Issued in CT
Practice address
400 Saybrook Rd Ste 100
Middletown, CT 06457-4774
Phone
(860) 347-7466
NPI assigned
Jul 10, 2013
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007996 NY
Optometrist 152W00000X 003232 CT Primary

Addresses

Primary practice location

400 Saybrook Rd Ste 100
Middletown, CT 06457-4774

Mailing address

400 Saybrook Rd Ste 100
Middletown, CT 06457-4774
Phone (860) 347-7466

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
I20211215000771 CT Practitioner - Optometry 5799919569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middlesex Eye Physicians P.C.Group PAC ID 5890757108, 10 clinicians

Practice addresses (Care Compare)

400 Saybrook Rd
Suite 100
Middletown, CT 06457-4774
Phone (860) 347-7466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007996NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Eye Physicians, P.C. Optometrist CurrentSince May 5, 2025 Accepting new patients
Middlesex Eye Physicians P.C. Optometrist CurrentSince May 5, 2025 Accepting new patients

Locations

610 Foxon Rd
East Haven, CT 06513
Phone (203) 468-8800

515 Boston St
Guilford, CT 06437
Phone (203) 453-3100

400 Saybrook Rd
Ste 100
Middletown, CT 06457
Phone (860) 347-7466

48 Main St
Ste 2
Old Saybrook, CT 06475
Phone (860) 347-7466

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, 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": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1942641626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SAYBROOK RD STE 100",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574774",
            "telephone_number": "860-347-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SAYBROOK RD STE 100",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574774",
            "telephone_number": "860-347-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUCOIN",
        "first_name": "NICOLE",
        "middle_name": "CHRISTINA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007996",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "003232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.