WALLINGFORD EYE CARE CENTER P.C.
NPI 1053521419
Optometrist in Wallingford, CT
About Wallingford Eye Care Center P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALLINGFORD EYE CARE CENTER P.C. (NPI 1053521419) is a healthcare organization registered as an optometrist in Wallingford, Connecticut and active in the NPI registry since May 2007. The organization lists Ken H Elder, Vice-president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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)
Wallingford Eye Care Center P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Wallingford Eye Care Center P.C., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Wallingford Eye Care Center P.C.'s NPI number?
The NPI number for Wallingford Eye Care Center P.C. is 1053521419. It was assigned to this organization in the NPPES registry on May 23, 2007.
Where is Wallingford Eye Care Center P.C. located?
Wallingford Eye Care Center P.C. is located at 821 N Main Street Ext, Wallingford, CT 06492. The listed phone number is (203) 265-5152.
What is Wallingford Eye Care Center P.C.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Wallingford Eye Care Center P.C. enrolled in Medicare?
Yes. Wallingford Eye Care Center P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wallingford Eye Care Center P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Optometry, reassign their Medicare billing to Wallingford Eye Care Center P.C.. 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 and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Wallingford Eye Care Center P.C. accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Wallingford Eye Care Center P.C. 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 Wallingford Eye Care Center P.C. was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.
# Wallingford Eye Care Center P.c. · NPI 1053521419
Optometrist organization in Wallingford, Connecticut. Organization record, active in the CMS NPPES registry since May 23, 2007.
## Identity
- **NPI:** 1053521419 (Entity type: Organization)
- **Enumerated:** May 23, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Ken Elder, VICE-PRESIDENT
## Practice location
- **Address:** 821 N MAIN STREET EXT, Wallingford, CT 06492-2464
- **Phone:** (203) 265-5152 · **Fax:** (203) 265-1562
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 30, 2026
- **Other identifiers:** Medicaid 004024865 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1053521419) · Data from the CMS NPPES public registry.