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RATCHFORD EYE CENTER LLC
NPI 1003995077
Ophthalmology in Berlin, CT

Active since November 02, 2006CLIA 07D2226564 · Waiver
1166 FARMINGTON AVE., BERLIN, CT 06037(860) 829-8939(860) 829-8938 Get Directions Write a Review

NPPES record last updated: December 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ratchford Eye Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RATCHFORD EYE CENTER LLC (NPI 1003995077) is a healthcare organization registered as an ophthalmology in Berlin, Connecticut and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through June 1, 2027 and lists Mary Gina Ratchford, Member, as its authorized official.

NPPES Registry Identity

NPI1003995077
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameRATCHFORD EYE CENTER LLC
Location Address1166 FARMINGTON AVE.Berlin, CT 06037-2302
Mailing Address1166 Farmington Ave.Berlin, CT 06037-2302 · (860) 829-8939 · Fax (860) 829-8938
Phone(860) 829-8939
Fax(860) 829-8938
Organization SubpartNo
Authorized OfficialMary Gina RatchfordMember · (860) 829-8939
Enumeration DateNovember 2, 2006
Last NPPES UpdateDecember 16, 2023
NPPES CertifiedDecember 16, 2023
✔ NPI 1003995077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CT · 037297
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X
1166 FARMINGTON AVE., Berlin, CT 06037
Open in Google Maps ↗

Other Identifiers 1

Medicaid004259158CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ratchford Eye Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Ratchford Eye Center LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Jessica Jacques-Goodman, OD
Optometry
NPI 1588019947
1166 FARMINGTON AVE
Berlin, CT 06037
(860) 829-8939
✔ PECOS✔ Accepts MedicareSame address
Brett Kjellen, O.D.
Optometry
NPI 1053338046
1166 FARMINGTON AVE.
Berlin, CT 06037
(860) 829-8939
✔ PECOS✔ Accepts MedicareSame address
Mary Gina Ratchford, M.D.
Ophthalmology
NPI 1578688909
1166 FARMINGTON AVE.
Berlin, CT 06037
(860) 829-8939
✔ PECOS✔ Accepts MedicareSame address
Susel Oropesa, MD
Ophthalmology
NPI 1992292791
2880 OLD DIXWELL AVE
Hamden, CT 06518
(203) 248-6365
✔ PECOS✔ Accepts Medicare19 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2226564

Ratchford Eye Center LLC · Berlin, CT
Active · expires Jun 1, 2027
CLIA Number07D2226564
Laboratory TypePractitioner Other
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorDr. Mary Gina Ratchford
Laboratory Phone(860) 829-8939
Laboratory LocationRatchford Eye Center LLC1166 Farmington Ave, Berlin, CT 06037
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ratchford Eye Center LLC's NPI number?

The NPI number for Ratchford Eye Center LLC is 1003995077. It was assigned to this organization in the NPPES registry on November 2, 2006.

Where is Ratchford Eye Center LLC located?

Ratchford Eye Center LLC is located at 1166 Farmington Ave., Berlin, CT 06037. The listed phone number is (860) 829-8939.

What is Ratchford Eye Center LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Ratchford Eye Center LLC enrolled in Medicare?

Yes. Ratchford Eye Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ratchford Eye Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Ratchford Eye Center LLC, in Ophthalmology and Optometry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ratchford Eye Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2226564) is associated with this NPI, valid through June 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ratchford Eye Center LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee list Ratchford Eye Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ratchford Eye Center LLC was last updated on December 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.