KILLINGLY EYE CARE P.C.
NPI 1255439188
Optometrist - Corneal and Contact Management in Danielson, CT
NPI Status: Active since September 21, 2006
Contact Information
25 GREEN HOLLOW RD
DANIELSON, CT
ZIP 06239
Phone: (860) 779-1588
Fax: (860) 779-1754
- Organization
- Optometrist
- Corneal and Contact Management
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 07D1076210
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 11-06-2027
About KILLINGLY EYE CARE P.C.
This page provides the complete NPI Profile along with additional information for Killingly Eye Care P.c., a provider established in Danielson, Connecticut operating as a Optometrist, focusing in corneal and contact management . The healthcare provider is registered in the NPI registry with number 1255439188 assigned on September 2006. The practitioner's primary taxonomy code is 152WC0802X with license number 864 (CT). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. James L Boccuzzi O.d. (President)
- NPI
- 1255439188
- Provider Name
- KILLINGLY EYE CARE P.C.
- Entity Type
- Organization
- Location Address
- 25 GREEN HOLLOW RD DANIELSON, CT 06239
- Location Phone
- (860) 779-1588
- Location Fax
- (860) 779-1754
- Mailing Address
- 25 GREEN HOLLOW RD DANIELSON, CT 06239
- Mailing Phone
- (860) 779-1588
- Mailing Fax
- (860) 779-1754
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-21-2006
- Last Update Date
- 10-21-2010
- Code Navigator
Killingly Eye Care P.c. is a medicare supplier with PTAN 20648597 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist Corneal and Contact Management
- Taxonomy Code
- 152WC0802X
- Type
- Eye and Vision Services Providers
- License No.
- 864
- License State
- CT
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0674960001 | MEDICARE NSC (07) | ||
| 52KILLEYECT01 | OTHER (01) | CT | BLUE CROSS BLUE SHIELD |
| C02401 | MEDICARE PIN (08) | CT | |
| 4188258 | MEDICAID (05) | CT |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20648597
- Accepts Medicare Assignment
- YES
- Specialities List
- Optometrist, Optician.
- Competitive Bidding
- NO
Supplies List
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
- Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 07D1076210
- Facility Type
- Practitioner Other
- Certificate Effective Date
- November 07, 2025
- Certificate Expiration Date
- November 06, 2027
- Laboratory Director
- JAMES L. BOCCUZZI, OD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Killingly Eye Care P.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1255439188, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255439188, enumerated as an "organization" on September 21, 2006.
The provider is located at 25 GREEN HOLLOW RD DANIELSON, CT 06239 and the phone number is (860) 779-1588.
Optometrist with taxonomy code 152WC0802X and a focus in Corneal and Contact Management.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
