Matthew Paul Steciak, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

2943 Issued in CT

Practice address

400 Talcottville Rd Ste 1
Vernon, CT 06066-7032

Phone

(860) 870-5800

Fax

(860) 871-0579

NPI assigned

Jun 8, 2015

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

Southern College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Connecticut LLCGroup PAC ID 1557666237, 70 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Myeyedr Optometry of Connecticut, LLC

  • Optometrist
  • Ansonia, CT
  • NPI 1396119194
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Connecticut, LLC

  • Optometrist
  • Vernon, CT
  • NPI 1992207468
  NPD
• Myeyedr Optometry of Connecticut, LLC

  • Optometrist
  • Greenwich, CT
  • NPI 1639902711
  NPD (past)

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1952781510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TALCOTTVILLE RD STE 1",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060667032",
            "telephone_number": "860-870-5800",
            "fax_number": "860-871-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STECIAK",
        "first_name": "MATTHEW",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre Spence, MFT
• Lauren Speringo, APRN
• Terrence Wayne Sprankle, RPH.
• Deborah Staley, APRN
• Brenee Denise Stanavage, MOT, OTR/L
• Robert Bunce Stocks, DMD
• Stop and Shop Supermarket Co LLC
• Strong Foundations
• Suburban Home Medical, Inc.
• Ferzana Suleman

• Optometrist in Vernon, CT
• Providers in Vernon, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.