CONNECTICUT CHILDRENS EYE CARE PC
NPI 1477167351
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in Glastonbury, CT
NPI Status: Active since September 08, 2020
Contact Information
131 NEW LONDON TPKE STE 200
GLASTONBURY, CT
ZIP 06033
Phone: (860) 837-9600
- Organization
- Ophthalmology
- Pediatric Ophthalmology and Strabismus S...
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 07D2224834
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 05-16-2027
About CONNECTICUT CHILDRENS EYE CARE PC
This page provides the complete NPI Profile along with additional information for Connecticut Childrens Eye Care Pc, a provider established in Glastonbury, Connecticut operating as a Ophthalmology, focusing in pediatric ophthalmology and strabismus specialist . The healthcare provider is registered in the NPI registry with number 1477167351 assigned on September 2020. The practitioner's primary taxonomy code is 207WX0110X. The provider is registered as an organization and their NPI record was last updated 6 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 Paul Rychwalski Md (President)
- NPI
- 1477167351
- Provider Name
- CONNECTICUT CHILDRENS EYE CARE PC
- Entity Type
- Organization
- Location Address
- 131 NEW LONDON TPKE STE 200 GLASTONBURY, CT 06033
- Location Phone
- (860) 837-9600
- Mailing Address
- 10 COLUMBUS BLVD HARTFORD, CT 06106
- Mailing Phone
- (860) 837-9600
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-08-2020
- Last Update Date
- 11-25-2020
- Code Navigator
Connecticut Childrens Eye Care Pc is a medicare supplier with PTAN 21611217 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 or Prosthetic Lenses: Prosthetics Cataract 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
Ophthalmology Pediatric Ophthalmology and Strabismus Specialist
- Taxonomy Code
- 207WX0110X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 152W00000X | Eye and Vision Services Providers | Optometrist | |
| 2 | 152WP0200X | Eye and Vision Services Providers | Optometrist | |
| 3 | 156FX1800X | Eye and Vision Services Providers | Technician/Technologist | |
| 4 | 207W00000X | Allopathic & Osteopathic Physicians | Ophthalmology | |
| 5 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
Group Taxonomy 193400000X MULTIPLE 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.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 21611217
- 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
- Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses
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
- 07D2224834
- Facility Type
- Pharmacy
- Certificate Effective Date
- May 17, 2025
- Certificate Expiration Date
- May 16, 2027
- Laboratory Director
- LYNN DOMINGOS RPH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Connecticut Childrens Eye Care Pc 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 1477167351, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
GLASTONBURY, CT 06033
GLASTONBURY, CT 06033
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477167351, enumerated as an "organization" on September 08, 2020.
The provider is located at 131 NEW LONDON TPKE STE 200 GLASTONBURY, CT 06033 and the phone number is (860) 837-9600.
Ophthalmology with taxonomy code 207WX0110X and a focus in Pediatric Ophthalmology and Strabismus Specialist.
