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WATERBURY EYE ASSOCIATES LLC
NPI 1750403051
Optometrist in Waterbury, CT

Active since April 06, 2007CLIA 07D2062935 · Waiver
171 N MAIN ST, WATERBURY, CT 06702(203) 754-8413 Get Directions Write a Review

NPPES record last updated: October 24, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Waterbury Eye Associates Llc NPPES

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

WATERBURY EYE ASSOCIATES LLC (NPI 1750403051) is a healthcare organization registered as an optometrist in Waterbury, Connecticut and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through July 23, 2027 and lists Clinton Runnells Mclean, Owner, as its authorized official.

NPPES Registry Identity

NPI1750403051
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameWATERBURY EYE ASSOCIATES LLC
Location Address171 N MAIN STWaterbury, CT 06702-1405
Mailing Address171 N Main StWaterbury, CT 06702-1405 · (203) 754-8413
Phone(203) 754-8413
Organization SubpartNo
Authorized OfficialClinton Runnells McleanOwner · (203) 754-8413
Enumeration DateApril 6, 2007
Last NPPES UpdateOctober 24, 2016
✔ NPI 1750403051 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 CT · 904
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.
171 N MAIN ST, Waterbury, CT 06702
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Other Identifiers 2

Medicaid004228608CT
Medicare PINC02936

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

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 07D2062935

Waterbury Eye Associate, LLC · Waterbury, CT
Active · expires Jul 23, 2027
CLIA Number07D2062935
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorRobert A. Buck Od
Laboratory Phone(203) 754-8413
Laboratory LocationWaterbury Eye Associate, LLC171 North Main St, Waterbury, CT 06702
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Waterbury Eye Associates carries, from the Medicare DMEPOS supplier directory.

Waterbury Eye Associates

DMEPOS supplier · Waterbury, CTOperated by Waterbury Eye Associates LLC
✔

Accepts Medicare assignment

Waterbury Eye Associates agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20602091
Medicare Participant SinceJanuary 1, 2003
Supplier Location171N Main StWaterbury, CT 06702
Phone(203) 754-8413
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT ALEXANDER BUCK OD
Optometrist
171 N MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 754-8413

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 Waterbury Eye Associates LLC's NPI number?

The NPI number for Waterbury Eye Associates LLC is 1750403051. It was assigned to this organization in the NPPES registry on April 6, 2007.

Where is Waterbury Eye Associates LLC located?

Waterbury Eye Associates LLC is located at 171 N Main St, Waterbury, CT 06702. The listed phone number is (203) 754-8413.

What is Waterbury Eye Associates LLC's specialty?

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

Does Waterbury Eye Associates LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Waterbury Eye Associates accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Waterbury Eye Associates LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2062935) is associated with this NPI, valid through July 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Waterbury Eye Associates LLC was last updated on October 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.