POULIN OPTOMETRIC EYECARE , PLLC
NPI 1477052223
Optometrist in Camden, NY

Active since February 07, 2018CLIA 33D2326806 · Waiver
94 MAIN ST, CAMDEN, NY 13316(315) 245-2443(315) 245-1060 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Poulin Optometric Eyecare , Pllc NPPES

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

POULIN OPTOMETRIC EYECARE , PLLC (NPI 1477052223) is a healthcare organization registered as an optometrist in Camden, New York and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Ronald H Poulin, Owner, as its authorized official.

NPPES Registry Identity

NPI1477052223
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NamePOULIN OPTOMETRIC EYECARE , PLLC
Location Address94 MAIN STCamden, NY 13316-1320
Mailing Address2471 State Route 69Camden, NY 13316-3728 · (315) 245-3963 · Fax (315) 245-1060
Fax(315) 245-1060
Organization SubpartNo
Authorized OfficialRonald H PoulinOwner · (315) 245-2443
Enumeration DateFebruary 7, 2018
Last NPPES UpdateApril 5, 2022
NPPES CertifiedApril 5, 2022
✔ NPI 1477052223 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 NY · 0003386
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.
94 MAIN ST, Camden, NY 13316

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

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)

Poulin Optometric Eyecare , Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Poulin Optometric Eyecare , PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Optometry
NPI 1982694832
94 MAIN ST
Camden, NY 13316
(315) 245-2443
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1205452810
1320 FLOYD AVE SUITE 1
Rome, NY 13440
(315) 337-3277
✔ PECOS✔ Accepts Medicare18 mi
Optometry
NPI 1164874319
1300 FLOYD AVE STE 1
Rome, NY 13440
(315) 337-3277
✔ PECOS✔ Accepts Medicare18 mi
Optometry
NPI 1932275898
3277 MAIN ST.
Mexico, NY 13114
(315) 963-8233
✔ PECOS26 mi
Optometry
NPI 1366523003
4473 E GENESEE ST
Syracuse, NY 13214
(315) 446-1210
✔ PECOS✔ Accepts Medicare26 mi
Optometry
NPI 1891094488
140B STATE ROUTE 104 OSWEGO PLAZA
Oswego, NY 13126
(315) 342-0727
✔ PECOS✔ Accepts Medicare39 mi

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

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 33D2326806

Poulin Optometric Eyecare PLLC · Camden, NY
Active · expires Mar 26, 2027
CLIA Number33D2326806
Laboratory TypePhysician Office
Certificate Effective DateJuly 10, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Edgar U. Ekure
Laboratory Phone(315) 245-2443
Laboratory LocationPoulin Optometric Eyecare PLLC94 Main St, Camden, NY 13316
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Poulin Optometric Eyecare , PLLC's NPI number?

The NPI number for Poulin Optometric Eyecare , PLLC is 1477052223. It was assigned to this organization in the NPPES registry on February 7, 2018.

Where is Poulin Optometric Eyecare , PLLC located?

Poulin Optometric Eyecare , PLLC is located at 94 Main St, Camden, NY 13316. The listed phone number is (315) 245-2443.

What is Poulin Optometric Eyecare , PLLC's specialty?

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

Is Poulin Optometric Eyecare , PLLC enrolled in Medicare?

Yes. Poulin Optometric Eyecare , PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Poulin Optometric Eyecare , PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Optometry, reassign their Medicare billing to Poulin Optometric Eyecare , PLLC. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Poulin Optometric Eyecare , PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2326806) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Poulin Optometric Eyecare , PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Poulin Optometric Eyecare , PLLC 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 Poulin Optometric Eyecare , PLLC was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.