Individual provider Active NPI

Kayla Winshman, OD

  • Optometrist
  • Willimantic, CT
National Provider Identifier
1982444014
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
003355 Issued in CT
Practice address
16 Walnut St
Willimantic, CT 06226-2315
Phone
(508) 298-4768
NPI assigned
May 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 003355 CT Primary

Addresses

Primary practice location

16 Walnut St
Willimantic, CT 06226-2315

Mailing address

189 Cullinane Dr
Marlborough, MA 01752-5305
Phone (508) 298-4768

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
I20240827000400 CT Practitioner - Optometry 8123567856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tricounty Vision Associates, L.L.C.Group PAC ID 2961594593, 3 clinicians

Practice addresses (Care Compare)

16 Walnut St
Willimantic, CT 06226-2315
Phone (860) 423-2565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tricounty Vision Associates, L.L.C. Optometrist CurrentSince Sep 9, 2024 Accepting new patients

Locations

16 Walnut St
Willimantic, CT 06226
Phone (860) 373-4148

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1982444014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 CULLINANE DR",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017525305",
            "telephone_number": "508-298-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WALNUT ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262315",
            "telephone_number": "508-298-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSHMAN",
        "first_name": "KAYLA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "003355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willimantic, CT

Sources for this page

Verify at the official NPI Registry.