KILLINGLY EYE CARE P.C.
NPI 1255439188
Optometrist - Corneal and Contact Management in Danielson, CT

Active since September 21, 2006CLIA 07D1076210 · Waiver
25 GREEN HOLLOW RD, DANIELSON, CT 06239(860) 779-1588(860) 779-1754 Get Directions Write a Review

NPPES record last updated: October 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Killingly Eye Care P.c. NPPES

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

KILLINGLY EYE CARE P.C. (NPI 1255439188) is a healthcare organization registered as a corneal and contact management in Danielson, Connecticut and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through November 6, 2027 and lists James L Boccuzzi, President, as its authorized official.

NPPES Registry Identity

NPI1255439188
Entity TypeOrganization
Primary Taxonomy152WC0802X
Legal Business NameKILLINGLY EYE CARE P.C.
Location Address25 GREEN HOLLOW RDDanielson, CT 06239-3509
Mailing Address25 Green Hollow RdDanielson, CT 06239-3509 · (860) 779-1588 · Fax (860) 779-1754
Fax(860) 779-1754
Organization SubpartNo
Authorized OfficialJames L BoccuzziPresident · (860) 779-1588
Enumeration DateSeptember 21, 2006
Last NPPES UpdateOctober 21, 2010
NPI 1255439188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License Licensed in CT · 864
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
25 GREEN HOLLOW RD, Danielson, CT 06239

Other Identifiers 4

Medicare NSC0674960001
Other52KILLEYECT01CT · Blue Cross Blue Shield
Medicare PINC02401CT
Medicaid4188258CT

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D1076210

Killingly Eye Care PC · Danielson, CT
Active · expires Nov 6, 2027
CLIA Number07D1076210
Laboratory TypePractitioner Other
Certificate Effective DateNovember 7, 2025
Certificate Expiration DateNovember 6, 2027
Laboratory DirectorJames L. Boccuzzi, Od
Laboratory Phone(860) 779-1588
Laboratory LocationKillingly Eye Care PC25 Green Hollow Rd, Danielson, CT 06239
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Killingly Eye Care PC carries, from the Medicare DMEPOS supplier directory.

Killingly Eye Care PC

DMEPOS supplier · Danielson, CT

Accepts Medicare assignment

Killingly Eye Care PC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20648597
Medicare Participant SinceJanuary 1, 1998
Supplier Location25 Green Hollow RdDanielson, CT 06239
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

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

Optometrist
25 GREEN HOLLOW RD
DANIELSON, CT 06239
Optometrist
25 GREEN HOLLOW RD
DANIELSON, CT 06239
Optometrist
25 GREEN HOLLOW RD
DANIELSON, CT 06239

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 Killingly Eye Care P.C.'s NPI number?

The NPI number for Killingly Eye Care P.C. is 1255439188. It was assigned to this organization in the NPPES registry on September 21, 2006.

Where is Killingly Eye Care P.C. located?

Killingly Eye Care P.C. is located at 25 Green Hollow Rd, Danielson, CT 06239. The listed phone number is (860) 779-1588.

What is Killingly Eye Care P.C.'s specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Does Killingly Eye Care P.C. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Killingly Eye Care PC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Killingly Eye Care P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D1076210) is associated with this NPI, valid through November 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Killingly Eye Care P.C. was last updated on October 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.