Kibo Eyecare, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KIBO EYECARE, PLLC

Practice address

63 Hebron Ave
Glastonbury, CT 06033-2078

Phone

(860) 659-5900

NPI assigned

Nov 22, 2021

Organization subpart

No

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

Authorized official

Name

Dr. David Cartwright, O.D.NPI 1578979258

Title

Member

Phone

(860) 659-5900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David R Cartwright, O.D.

  • Optometrist
  • Glastonbury, CT
  • NPI 1578979258
  Medicare reassignment Care Compare group NPD Authorized official
• Martin Robert Lindower, O.D.

  • Optometrist
  • Glastonbury, CT
  • NPI 1861404949
  Medicare reassignment Care Compare group NPD
• Lance I Alpert, OD

  • Optometrist
  • Manchester, CT
  • NPI 1316910185
  NPD

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1962169144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 HEBRON AVE",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332078",
            "telephone_number": "860-659-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 HEBRON AVE",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332078",
            "telephone_number": "860-659-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIBO EYECARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "CARTWRIGHT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-659-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Riordan Kessler, PH.D.
• Robyn Ketover Kessler, LPC
• Gwen Kesten, PH.D.
• Abdulrahman Tariq Khizindar, MBBS
• Aericka Robyn Khongdy, APRN
• Smith Eddie Kidkarndee, PSY.D., HSP
• James Kidney
• Thomas Christian Kiebach, D.D.S.
• Carol Ann Kimmel, OTR
• Melissa Mae Klaus, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.