OPTOMETRIC SPECIALTY GROUP LIMITED LIABILITY COMPANY
NPI 1184717365
Optometrist in West Hartford, CT
About Optometric Specialty Group Limited Liability Company NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPTOMETRIC SPECIALTY GROUP LIMITED LIABILITY COMPANY (NPI 1184717365) is a healthcare organization registered as an optometrist in West Hartford, Connecticut and active in the NPI registry since October 2006. The organization lists Edie Ryba, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 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)
Optometric Specialty Group Limited Liability Company is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Optometric Specialty Group Limited Liability Company, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Optometric Specialty Group Limited Liability Company's NPI number?
The NPI number for Optometric Specialty Group Limited Liability Company is 1184717365. It was assigned to this organization in the NPPES registry on October 2, 2006.
Where is Optometric Specialty Group Limited Liability Company located?
Optometric Specialty Group Limited Liability Company is located at 77 S Main St, West Hartford, CT 06107. The listed phone number is (860) 236-1218.
What is Optometric Specialty Group Limited Liability Company's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Optometric Specialty Group Limited Liability Company enrolled in Medicare?
Yes. Optometric Specialty Group Limited Liability Company is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Optometric Specialty Group Limited Liability Company?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Optometric Specialty Group Limited Liability Company. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Optometric Specialty Group Limited Liability Company accept?
Health plans from Anthem Blue Cross and Blue Shield list Optometric Specialty Group Limited Liability Company 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 Optometric Specialty Group Limited Liability Company was last updated on March 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Optometric Specialty Group Limited Liability Company · NPI 1184717365
Optometrist organization in West Hartford, Connecticut. Organization record, active in the CMS NPPES registry since October 2, 2006.
## Identity
- **NPI:** 1184717365 (Entity type: Organization)
- **Enumerated:** October 2, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Edie Ryba, PRACTICE MANAGER
## Practice location
- **Address:** 77 S MAIN ST, West Hartford, CT 06107-2404
- **Phone:** (860) 236-1218
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 8, 2010
- **Other identifiers:** Medicare UPIN U66345 (CT); Medicare NSC 0410000820 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1184717365) · Data from the CMS NPPES public registry.