KIBO EYECARE, PLLC
NPI 1962169144
Optometrist in Glastonbury, CT

Active since November 22, 2021
63 HEBRON AVE, GLASTONBURY, CT 06033(860) 659-5900 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 9, 2023, Nov 22, 2021 (2 updates tracked since 2021).

About Kibo Eyecare, Pllc NPPES

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

KIBO EYECARE, PLLC (NPI 1962169144) is a healthcare organization registered as an optometrist in Glastonbury, Connecticut and active in the NPI registry since November 2021. The organization lists David Cartwright, Member, as its authorized official.

NPPES Registry Identity

NPI1962169144
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameKIBO EYECARE, PLLC
Location Address63 HEBRON AVEGlastonbury, CT 06033-2078
Mailing Address63 Hebron AveGlastonbury, CT 06033-2078 · (860) 659-5900
Organization SubpartNo
Authorized OfficialDavid CartwrightMember · (860) 659-5900
Enumeration DateNovember 22, 2021
Last NPPES UpdateFebruary 9, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2023
✔ NPI 1962169144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
63 HEBRON AVE, Glastonbury, CT 06033

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)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kibo Eyecare, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Optometry
NPI 1578979258
63 HEBRON AVE STE E
Glastonbury, CT 06033
(860) 659-5900
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1861404949
63 HEBRON AVE TOTALVISION EYECARE OF GLASTONBURY, LLC
Glastonbury, CT 06033
(860) 659-5900
✔ PECOS✔ Accepts MedicareSame address

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 Kibo Eyecare, PLLC's NPI number?

The NPI number for Kibo Eyecare, PLLC is 1962169144. It was assigned to this organization in the NPPES registry on November 22, 2021.

Where is Kibo Eyecare, PLLC located?

Kibo Eyecare, PLLC is located at 63 Hebron Ave, Glastonbury, CT 06033. The listed phone number is (860) 659-5900.

What is Kibo Eyecare, PLLC's specialty?

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

Is Kibo Eyecare, PLLC enrolled in Medicare?

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

How many clinicians bill Medicare through Kibo Eyecare, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Kibo 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kibo Eyecare, PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Kibo 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 Kibo Eyecare, PLLC was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.