DR. SEAN CHRISTOPHER MCLOUGHLIN O.D.
NPI 1457407835
Optometrist in Edgewater, FL

Q: What is Sean Mcloughlin's NPI number?

The NPI number for Sean Mcloughlin is 1457407835. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Q: What is Sean Mcloughlin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sean Mcloughlin was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 26, 2007PECOS EnrolledAccepts Medicare Assignment

86.55/100

CMS Quality Rating

PRECISION EYE INSTITUTE, 303 N. RIDGEWOOD AVE., EDGEWATER, FL 32132(386) 424-1422(386) 424-1401 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Sean Christopher Mcloughlin O.d. NPPES

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

DR. SEAN CHRISTOPHER MCLOUGHLIN O.D. (NPI 1457407835) is an individual optometrist in Edgewater, Florida, licensed in Florida (OPC5772) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2003).

NPPES Registry Identity

NPI1457407835

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. SEAN CHRISTOPHER MCLOUGHLINCredential: O.D.

Location AddressPRECISION EYE INSTITUTE, 303 N. RIDGEWOOD AVE.Edgewater, FL 32132

Mailing Address18 W Avon RdAvon, CT 06001-3583 · (860) 675-3937 · Fax (860) 673-2555

Phone(386) 424-1422

Fax(386) 424-1401

Sole ProprietorYes

Medical School CMSState University Of New York - State College OptometryGraduated 2003

Enumeration DateJanuary 26, 2007

Last NPPES UpdateOctober 20, 2021

NPPES CertifiedOctober 20, 2021

✔ NPI 1457407835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in FL · OPC5772✔ Licensed in CT · 002645

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.

PRECISION EYE INSTITUTE, Edgewater, FL 32132

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Dr. Sean Christopher Mcloughlin 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 ID1254496334

PECOS Enrollment IDI20230629001034

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 Reassignments

Medicare enrollment records show Sean Mcloughlin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orest M Krajnyk MD PA

1.7 mi

Ophthalmology

303 N RIDGEWOOD AVE
Edgewater, FL 32132

Reassigned Medicare billing, Florida enrollment
3 clinicians in this Medicare group

NPI 1598299380 (386) 424-1422

Myeyedr Optometry Of Connecticut, LLC

928 mi

Optometrist

18 GREENWICH AVE STE 1
Greenwich, CT 06830

Reassigned Medicare billing, Connecticut enrollment
133 clinicians in this Medicare group

NPI 1639902711 (203) 661-2020

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 14

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.

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.

356 services332 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.

310 services286 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.

172 services149 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

153 services108 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

152 services139 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

127 services121 patients

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.

92 services92 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

86 services84 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

59 services53 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

44 services17 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

32 services32 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

24 services22 patients

Removal of eyelashes using forceps 67820

The removal of eyelashes using forceps is a simple procedure where a medical professional gently extracts unwanted or problematic eyelashes with a specialized tool. This is often done to alleviate discomfort or to treat conditions like trichiasis, where eyelashes grow inward.

15 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32132 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.55/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.11

Improvement Activities

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 Sean Mcloughlin's NPI number?

The NPI number for Sean Mcloughlin is 1457407835. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Sean Mcloughlin located?

Sean Mcloughlin practices at Precision Eye Institute 303 N. Ridgewood Ave., Edgewater, FL 32132. The listed phone number is (386) 424-1422.

What is Sean Mcloughlin's specialty?

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

Is Sean Mcloughlin enrolled in Medicare?

Yes. Sean Mcloughlin 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.

Which organizations bill Medicare for Sean Mcloughlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Mcloughlin reassigns Medicare benefits to 2 organizations: Orest M Krajnyk MD PA (Edgewater, FL) and Myeyedr Optometry Of Connecticut, LLC (Greenwich, CT). Each 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 Sean Mcloughlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Mcloughlin accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 14 other insurers list Sean Mcloughlin 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 Sean Mcloughlin was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.