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WILD APPLE EYE LLC
NPI 1104465939
Optometrist in Centerbrook, CT

Active since December 26, 2019
90 MAIN ST STE 101, CENTERBROOK, CT 06409(860) 767-3206 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 29, 2020, Dec 26, 2019 (2 updates tracked since 2019).

About Wild Apple Eye Llc NPPES

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

WILD APPLE EYE LLC (NPI 1104465939) is a healthcare organization registered as an optometrist in Centerbrook, Connecticut and active in the NPI registry since December 2019. The organization maintains a secondary practice location in Groton and lists Nicholas Anthony Paradis, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1104465939
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameWILD APPLE EYE LLC
Location Address90 MAIN ST STE 101Centerbrook, CT 06409-1057
Mailing Address54 Bokum RdOld Saybrook, CT 06475-1207 · (860) 391-3366
Phone(860) 767-3206
Organization SubpartNo
Authorized OfficialNicholas Anthony ParadisOptometrist · (860) 577-2012
Enumeration DateDecember 26, 2019
Last NPPES UpdateSeptember 29, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2020
✔ NPI 1104465939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

90 MAIN ST STE 101, Centerbrook, CT 06409
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Secondary Practice Location 1

Location 1484 Grayback Avenue, Building #4Groton, CT 06349 · Phone (860) 326-2247

Other Identifiers 7

Other4002760CT · Cigna
Other1473930Wellcare
Other12002152CT · Harvard Pilgrim
Other139866CT · Ctcare
Medicaid8073265CT
OtherA31568CT · Eyemed
OtherP5740240CT · Oxford

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

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 Wild Apple Eye LLC's NPI number?

The NPI number for Wild Apple Eye LLC is 1104465939. It was assigned to this organization in the NPPES registry on December 26, 2019.

Where is Wild Apple Eye LLC located?

Wild Apple Eye LLC is located at 90 Main St Ste 101, Centerbrook, CT 06409. The listed phone number is (860) 767-3206.

What is Wild Apple Eye LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Wild Apple Eye LLC accept?

Health plans from BlueCross BlueShield of Tennessee list Wild Apple Eye 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 Wild Apple Eye LLC was last updated on September 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.