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SOUTHINGTON OPTOMETRIC CARE, LLC
NPI 1972799260
Optometrist in Southington, CT

Active since September 20, 2007
27 MERIDEN AVE, SOUTHINGTON, CT 06489(860) 628-9937(860) 621-4911 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southington Optometric Care, Llc NPPES

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

SOUTHINGTON OPTOMETRIC CARE, LLC (NPI 1972799260) is a healthcare organization registered as an optometrist in Southington, Connecticut and active in the NPI registry since September 2007. The organization lists Heather L Theriault, Manager/member, as its authorized official.

NPPES Registry Identity

NPI1972799260
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSOUTHINGTON OPTOMETRIC CARE, LLC
Location Address27 MERIDEN AVESouthington, CT 06489-3234
Mailing Address27 Meriden AveSouthington, CT 06489-3234 · (860) 628-9937 · Fax (860) 621-4911
Phone(860) 628-9937
Fax(860) 621-4911
Organization SubpartNo
Authorized OfficialHeather L TheriaultManager/member · (860) 628-9937
Enumeration DateSeptember 20, 2007
Last NPPES UpdateMay 10, 2016
✔ NPI 1972799260 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.
27 MERIDEN AVE, Southington, CT 06489
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Other Identifiers 3

Medicare NSC1294950001CT
Medicare PINC02568CT
Medicaid004199354CT

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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Southington Optometric Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southington Optometric Care, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Heather Theriault, OD
Optometry
NPI 1548312440
27 MERIDEN AVE
Southington, CT 06489
(860) 628-9937
✔ 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 Southington Optometric Care, LLC's NPI number?

The NPI number for Southington Optometric Care, LLC is 1972799260. It was assigned to this organization in the NPPES registry on September 20, 2007.

Where is Southington Optometric Care, LLC located?

Southington Optometric Care, LLC is located at 27 Meriden Ave, Southington, CT 06489. The listed phone number is (860) 628-9937.

What is Southington Optometric Care, LLC's specialty?

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

Is Southington Optometric Care, LLC enrolled in Medicare?

Yes. Southington Optometric Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southington Optometric Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Southington Optometric Care, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southington Optometric Care, LLC 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 Southington Optometric Care, LLC 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 Southington Optometric Care, LLC was last updated on May 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.