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EMMA PUNSALAN OD
NPI 1275216905
Optometrist in Waterford, CT

Active since August 09, 2023PECOS Enrolled
131 BOSTON POST RD, WATERFORD, CT 06385(850) 442-5058 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Emma Punsalan Od NPPES

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

EMMA PUNSALAN OD (NPI 1275216905) is an individual optometrist in Waterford, Connecticut, licensed in Connecticut (3003317) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1275216905
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameEMMA PUNSALANCredential: OD
Location Address131 BOSTON POST RDWaterford, CT 06385-2839
Mailing Address131 Boston Post RdWaterford, CT 06385-2839
Phone(850) 442-5058
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 9, 2023
NPPES CertifiedAugust 9, 2023
✔ NPI 1275216905 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 · 3003317
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.
131 BOSTON POST RD, Waterford, CT 06385
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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, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emma Punsalan Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850747254
PECOS Enrollment IDI20231020001782
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.

Medicare Billing Reassignment

Medicare enrollment records show Emma Punsalan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Westchester Eye Care
20 mi
Optometrist
715 MIDDLETOWN RD
Colchester, CT 06415
  • Reassigned Medicare billing, Connecticut enrollment
  • 6 clinicians in this Medicare group
NPI 1427452473 (860) 531-3852

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
36 services36 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.
30 services30 patients
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.
25 services25 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
19 services16 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.
19 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06385 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 4

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

TROY SANFILIPPO
Optometrist
131 BOSTON POST RD
WATERFORD, CT 06385
Southeastern Connecticut Planning Region (860) 442-5058
MR. WILLIAM D. FOREMAN L.O.
Technician/Technologist (Optician)
131 BOSTON POST RD, SUITE 4
WATERFORD, CT 06385
Southeastern Connecticut Planning Region (860) 442-1167
MRS. MARY CHRISTINE BEAULIEU OD
Optometrist
131 BOSTON POST RD, SUITE 4
WATERFORD, CT 06385
Southeastern Connecticut Planning Region (860) 442-5058
PROFESSIONAL EYECARE, LLC
Optometrist
131 BOSTON POST RD, SUITE 4
WATERFORD, CT 06385
Southeastern Connecticut Planning Region (860) 442-5058

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 Emma Punsalan's NPI number?

The NPI number for Emma Punsalan is 1275216905. It was assigned to this individual provider in the NPPES registry on August 9, 2023.

Where is Emma Punsalan located?

Emma Punsalan practices at 131 Boston Post Rd, Waterford, CT 06385. The listed phone number is (850) 442-5058.

What is Emma Punsalan's specialty?

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

Is Emma Punsalan enrolled in Medicare?

Yes. Emma Punsalan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Emma Punsalan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emma Punsalan reassigns Medicare benefits to Westchester Eye Care (Colchester, CT). The 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 Emma Punsalan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emma Punsalan 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 Providence Health Plan list Emma Punsalan 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 Emma Punsalan was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.