EYE CARE NORTHEAST, PC
NPI 1487740411
Ophthalmology in Putnam, CT

Active since October 05, 2006
5 KENNEDY DR, PUTNAM, CT 06260(860) 928-0414(860) 928-2239 Get Directions Write a Review

NPPES record last updated: March 17, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eye Care Northeast, Pc NPPES

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

EYE CARE NORTHEAST, PC (NPI 1487740411) is a healthcare organization registered as an ophthalmology in Putnam, Connecticut and active in the NPI registry since October 2006. The organization lists James C. Dean, President, as its authorized official.

NPPES Registry Identity

NPI1487740411
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEYE CARE NORTHEAST, PC
Location Address5 KENNEDY DRPutnam, CT 06260-1939
Mailing Address5 Kennedy DrPutnam, CT 06260-1939 · (860) 928-0414 · Fax (860) 928-2239
Fax(860) 928-2239
Organization SubpartNo
Authorized OfficialJames C. DeanPresident · (860) 928-0414
Enumeration DateOctober 5, 2006
Last NPPES UpdateMarch 17, 2010
✔ NPI 1487740411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
5 KENNEDY DR, Putnam, CT 06260

Other Identifiers 3

Medicare PINC00202CT
Medicare NSC0641430002CT
Medicaid004394673CT

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eye Care Northeast, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateConnecticutEnrollment IDO20100429000774Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Eye Care Northeast, PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Optometry
NPI 1891545463
5 KENNEDY DR
Putnam, CT 06260
(860) 928-0414
✔ PECOS✔ Accepts Medicare0.4 mi
Ophthalmology
NPI 1083618532
5 KENNEDY DR
Putnam, CT 06260
(860) 928-0414
✔ PECOS✔ Accepts Medicare0.5 mi
Optometry
NPI 1598195216
83 QUARRY ST
Willimantic, CT 06226
(860) 423-1619
✔ PECOS21 mi
Optometry
NPI 1851845713
377 PLANTATION ST
Worcester, MA 01605
(413) 584-4040
✔ PECOS27 mi
Optometry
NPI 1548619026
4100 W 3RD ST
Dayton, OH 45428
(937) 268-6511
✔ PECOS✔ Accepts Medicare663 mi

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

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 Eye Care Northeast, PC's NPI number?

The NPI number for Eye Care Northeast, PC is 1487740411. It was assigned to this organization in the NPPES registry on October 5, 2006.

Where is Eye Care Northeast, PC located?

Eye Care Northeast, PC is located at 5 Kennedy Dr, Putnam, CT 06260. The listed phone number is (860) 928-0414.

What is Eye Care Northeast, PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Eye Care Northeast, PC enrolled in Medicare?

Yes. Eye Care Northeast, PC is registered in the Medicare PECOS enrollment system.

When is Eye Care Northeast, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Eye Care Northeast, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Eye Care Northeast, PC. 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. The largest specialties are Optometry (4) and Ophthalmology (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eye Care Northeast, PC was last updated on March 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.