OPTOMETRIC SPECIALTY GROUP OF WETHERSFIELD, PLLC
NPI 1629561428
Optometrist in Wethersfield, CT
About Optometric Specialty Group Of Wethersfield, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPTOMETRIC SPECIALTY GROUP OF WETHERSFIELD, PLLC (NPI 1629561428) is a healthcare organization registered as an optometrist in Wethersfield, Connecticut and active in the NPI registry since June 2018. The organization lists Peter Pegolo, Doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Optometric Specialty Group Of Wethersfield, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Optometric Specialty Group Of Wethersfield, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Optometric Specialty Group Of Wethersfield, PLLC's NPI number?
The NPI number for Optometric Specialty Group Of Wethersfield, PLLC is 1629561428. It was assigned to this organization in the NPPES registry on June 7, 2018.
Where is Optometric Specialty Group Of Wethersfield, PLLC located?
Optometric Specialty Group Of Wethersfield, PLLC is located at 185 Silas Deane Hwy, Wethersfield, CT 06109. The listed phone number is (860) 296-1700.
What is Optometric Specialty Group Of Wethersfield, PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Optometric Specialty Group Of Wethersfield, PLLC enrolled in Medicare?
Yes. Optometric Specialty Group Of Wethersfield, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Optometric Specialty Group Of Wethersfield, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Optometric Specialty Group Of Wethersfield, 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Optometric Specialty Group Of Wethersfield, PLLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Optometric Specialty Group Of Wethersfield, 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 Optometric Specialty Group Of Wethersfield, PLLC was last updated on June 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Optometric Specialty Group Of Wethersfield, Pllc · NPI 1629561428
Optometrist organization in Wethersfield, Connecticut. Organization record, active in the CMS NPPES registry since June 7, 2018.
## Identity
- **NPI:** 1629561428 (Entity type: Organization)
- **Enumerated:** June 7, 2018
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Peter Pegolo, DOCTOR
## Practice location
- **Address:** 185 SILAS DEANE HWY, Wethersfield, CT 06109-1219
- **Phone:** (860) 296-1700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 7, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1629561428) · Data from the CMS NPPES public registry.