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DR. NEIL L. MALKIN O.D.
NPI 1174602114
Optometrist in Vernon, CT

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
375 HARTFORD TPKE, VERNON, CT 06066(860) 875-9433(860) 871-5492 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Neil L. Malkin O.d. NPPES

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

DR. NEIL L. MALKIN O.D. (NPI 1174602114) is an individual optometrist in Vernon, Connecticut, licensed in Connecticut (CT1008) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1983).

NPPES Registry Identity

NPI1174602114
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. NEIL L. MALKINCredential: O.D.
Location Address375 HARTFORD TPKEVernon, CT 06066-4820
Mailing Address375 Hartford TpkeVernon, CT 06066-4820 · (860) 875-9433 · Fax (860) 871-5492
Phone(860) 875-9433
Fax(860) 871-5492
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 1983
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174602114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CT · CT1008
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.

375 HARTFORD TPKE, Vernon, CT 06066
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Other Identifiers 1

Medicare UPINT22068CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Neil L. Malkin O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597896761
PECOS Enrollment IDI20100702000118
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
143 services142 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
33 services33 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
19 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ACADEMY OF ART AND LEARNING CHILDCARE CENTER, LLC
Behavior Analyst
375 HARTFORD TPKE
VERNON, CT 06066
Capitol Planning Region (860) 604-0356
JANELLE-MARIE LYNCH FAKO RBT
Behavior Technician
375 HARTFORD TPKE
VERNON, CT 06066
Capitol Planning Region (860) 604-0356

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 Neil Malkin's NPI number?

The NPI number for Neil Malkin is 1174602114. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Neil Malkin located?

Neil Malkin practices at 375 Hartford Tpke, Vernon, CT 06066. The listed phone number is (860) 875-9433.

What is Neil Malkin's specialty?

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

Is Neil Malkin enrolled in Medicare?

Yes. Neil Malkin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Neil Malkin accept?

Health plans from Providence Health Plan list Neil Malkin 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 Neil Malkin was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.