WATERFORD OPTOMETRIC PC
NPI 1154174589
Optometrist in Waterford, CT

Q: What is Waterford Optometric PC's NPI number?

The NPI number for Waterford Optometric PC is 1154174589. It was assigned to this organization in the NPPES registry on April 8, 2024.

Q: What is Waterford Optometric PC's specialty?

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

Active since April 08, 2024

903 HARTFORD TPKE UNIT 29, WATERFORD, CT 06385(917) 698-1292 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Waterford Optometric Pc NPPES

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

WATERFORD OPTOMETRIC PC (NPI 1154174589) is a healthcare organization registered as an optometrist in Waterford, Connecticut and active in the NPI registry since April 2024. The organization lists Jennifer Haber, President, as its authorized official.

NPPES Registry Identity

NPI1154174589

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameWATERFORD OPTOMETRIC PC

Location Address903 HARTFORD TPKE UNIT 29Waterford, CT 06385-4264

Mailing Address903 Hartford Tpke Unit 29Waterford, CT 06385-4264 · (917) 698-1292

Phone(917) 698-1292

Organization SubpartNo

Authorized OfficialJennifer HaberPresident · (917) 698-1292

Enumeration DateApril 8, 2024

Last NPPES UpdateOctober 31, 2024

NPPES CertifiedOctober 31, 2024

✔ NPI 1154174589 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.

903 HARTFORD TPKE UNIT 29, Waterford, CT 06385

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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 Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Waterford Optometric Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 23 clinicians reassign Medicare billing to Waterford Optometric PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Nearest to this location (20)

See all 23

Ronald Medwick, OD

Optometry

NPI 1790881696

567 VAUXHALL STREET
Waterford, CT 06385

(860) 442-1466

✔ PECOS1.3 mi

Thuy Nguyen

Optometry

NPI 1811517899

555 WILLARD AVE
Newington, CT 06111

(860) 667-6742

✔ PECOS✔ Accepts Medicare38 mi

Pamela Malchoff, O.D.

Optometry

NPI 1306100664

18 W AVON RD
Avon, CT 06001

(860) 675-3937

✔ PECOS✔ Accepts Medicare48 mi

Theresa Bacaris, OD

Optometry

NPI 1720162431

1360 MONTAUK HWY STE 2E
Mastic, NY 11950

(631) 281-2474

✔ PECOS54 mi

Rachel Hawran, O.D.

Optometry

NPI 1528084662

96 DANBURY RD
Ridgefield, CT 06877

(203) 438-5855

✔ PECOS70 mi

Christine Kantor, OD

Optometry

NPI 1235145764

41 W PUTNAM AVE
Greenwich, CT 06830

(203) 869-2255

✔ PECOS✔ Accepts Medicare81 mi

Al'tiana Manning, OD

Optometry

NPI 1821615873

1979 MARCUS AVENUE SUITE 206
Lake Success, NY 11042

(516) 243-8611

✔ PECOS91 mi

Lori Rothman, OD

Optometry

NPI 1326164583

160 E 56TH ST SUITE 300
New York, NY 10022

(121) 268-8427

✔ PECOS✔ Accepts Medicare104 mi

Brian Lewy, OD

Optometry

NPI 1750379087

16 E 52ND ST STE 500
New York, NY 10022

(212) 752-1212

✔ PECOS105 mi

Jacob Nachum, O.D.

Optometry

NPI 1124107685

26 BROADWAY SUITE 908
New York, NY 10004

(212) 425-2115

✔ PECOS✔ Accepts Medicare108 mi

Deanna Ippolito

Optometry

NPI 1225683121

12 COLONY CT
Summit, NJ 07901

(908) 256-0853

✔ PECOS✔ Accepts Medicare125 mi

Jennifer Haber, OD

Optometry

NPI 1497706881

670 ROUTE 1 NORTH
Iselin, NJ 08830

(732) 636-1400

✔ PECOS126 mi

Alexandra Mehas, O.D.

Optometry

NPI 1962094706

1545 CENTRAL AVE
Colonie, NY 12205

(513) 835-1734

✔ PECOS✔ Accepts Medicare126 mi

Kirti Patel, OD

Optometry

NPI 1811207608

579 CRANBURY RD SUITE I
East Brunswick, NJ 08816

(732) 307-7933

✔ PECOS✔ Accepts Medicare136 mi

Lariesa Miller-Schwab, OD

Optometry

NPI 1790346104

10300 LITTLE PATUXENT PKWY STE 1625
Columbia, MD 21044

(410) 730-0007

✔ PECOS✔ Accepts Medicare290 mi

Stephen Thompson, O.D.

Optometry

NPI 1730237579

2200 COOLIDGE RD #15
East Lansing, MI 48823

(517) 977-1598

✔ PECOS642 mi

Ronald Grand, O.D.

Optometry

NPI 1952390460

741 FRONT ST SUITE 120
Celebration, FL 34747

(407) 566-2020

✔ PECOS✔ Accepts Medicare1,045 mi

Cubdeerix Robinson, OD

Optometry

NPI 1275207839

1689 NONCONNAH BLVD STE 120
Memphis, TN 38132

(901) 271-4900

✔ PECOS1,062 mi

Candace Christen, O.D.

Optometry

NPI 1811036056

1212 SANDY LN
Monticello, MN 55362

(612) 310-2203

✔ PECOS✔ Accepts Medicare1,121 mi

Graciela Sable, O.D.

Optometry

NPI 1053588921

3302 SE MILITARY DR
San Antonio, TX 78223

(210) 858-9249

✔ PECOS1,690 mi

See all 23 clinicians

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 Waterford Optometric PC's NPI number?

The NPI number for Waterford Optometric PC is 1154174589. It was assigned to this organization in the NPPES registry on April 8, 2024.

Where is Waterford Optometric PC located?

Waterford Optometric PC is located at 903 Hartford Tpke Unit 29, Waterford, CT 06385. The listed phone number is (917) 698-1292.

What is Waterford Optometric PC's specialty?

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

Is Waterford Optometric PC enrolled in Medicare?

Yes. Waterford Optometric PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Waterford Optometric PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians, all in Optometry, reassign their Medicare billing to Waterford Optometric PC. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Waterford Optometric PC 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 Waterford Optometric PC 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 Waterford Optometric PC was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.