CONNECTICUT CHILDRENS EYE CARE PC
NPI 1477167351
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in Glastonbury, CT
NPI Status: Active since September 08, 2020
Contact Information
131 NEW LONDON TPKE STE 200
GLASTONBURY, CT
ZIP 06033
Phone: (860) 837-9600
- Organization
- Ophthalmology
- Pediatric Ophthalmology and Strabismus S...
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 07D2224834
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 05-16-2027
About CONNECTICUT CHILDRENS EYE CARE PC
This page provides the complete NPI Profile along with additional information for Connecticut Childrens Eye Care Pc, a provider established in Glastonbury, Connecticut operating as a Ophthalmology, focusing in pediatric ophthalmology and strabismus specialist . The healthcare provider is registered in the NPI registry with number 1477167351 assigned on September 2020. The practitioner's primary taxonomy code is 207WX0110X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Paul Rychwalski Md (President)
- NPI
- 1477167351
- Provider Name
- CONNECTICUT CHILDRENS EYE CARE PC
- Entity Type
- Organization
- Location Address
- 131 NEW LONDON TPKE STE 200 GLASTONBURY, CT 06033
- Location Phone
- (860) 837-9600
- Mailing Address
- 10 COLUMBUS BLVD HARTFORD, CT 06106
- Mailing Phone
- (860) 837-9600
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-08-2020
- Last Update Date
- 11-25-2020
- Code Navigator
Connecticut Childrens Eye Care Pc is a medicare supplier with PTAN 21611217 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses or Prosthetic Lenses: Prosthetics Cataract Lenses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology Pediatric Ophthalmology and Strabismus Specialist
- Taxonomy Code
- 207WX0110X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 152W00000X | Eye and Vision Services Providers | Optometrist | |
| 2 | 152WP0200X | Eye and Vision Services Providers | Optometrist | |
| 3 | 156FX1800X | Eye and Vision Services Providers | Technician/Technologist | |
| 4 | 207W00000X | Allopathic & Osteopathic Physicians | Ophthalmology | |
| 5 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 21611217
- Accepts Medicare Assignment
- YES
- Specialities List
- Optometrist, Optician.
- Competitive Bidding
- NO
Supplies List
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
- Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
- Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 07D2224834
- Facility Type
- Pharmacy
- Certificate Effective Date
- May 17, 2025
- Certificate Expiration Date
- May 16, 2027
- Laboratory Director
- LYNN DOMINGOS RPH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Connecticut Childrens Eye Care Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 7 | 7 | 1 | 6 | 7 | 3 | 5 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 14 | 7 | 2 | 6 | 14 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 4 + 7 + 2 + 6 + 1 + 4 + 3 + 1 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1477167351 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1831791623 | MARYANN SANTOS LICENSED OPTICIAN Individual | Technician/Technologist (Optician) | 131 NEW LONDON TPKE STE 200 GLASTONBURY, CT 06033 (860) 837-9628 |
| 1568056984 | CONNECTICUT CHILDREN'S SPECIALTY GROUP, INC. Organization | Ophthalmology | 131 NEW LONDON TPKE STE 200 GLASTONBURY, CT 06033 (860) 837-9628 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477167351, enumerated in the NPI registry as an "organization" on September 08, 2020
The provider is located at 131 New London Tpke Ste 200 Glastonbury, Ct 06033 and the phone number is (860) 837-9600
This medical organization specializes in Ophthalmology with taxonomy code 207WX0110X with a focus in Pediatric Ophthalmology and Strabismus Specialist
The provider's CLIA number is 07D2224834 for a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on September 08, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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