KILLINGLY EYE CARE P.C. NPI 1255439188

NPI Information

NPI: 1255439188
Provider Name: KILLINGLY EYE CARE P.C.
Classification: Optometrist - 152WC0802X
Specialization: Corneal and Contact Management
Entity Type: Organization
CLIA Number: 07D1076210
Address: 25 GREEN HOLLOW RD
DANIELSON, CT
ZIP 06239
Phone: (860) 779-1588

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NPI Details

KILLINGLY EYE CARE P.C. is a corneal and contact management optometrist in Danielson, CT. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. KILLINGLY EYE CARE P.C. NPI is 1255439188. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

25 GREEN HOLLOW RD
DANIELSON, CT
ZIP 06239-509
Phone: (860) 779-1588
Fax: (860) 779-1754

The provider's authorized official is James L Boccuzzi .
The authorized official title is President and has the following contact phone number (860) 779-1588.

The CLIA number assigned to this NPI record is 07D1076210 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 10/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152WC0802X	Optometrist	Corneal and Contact Management	864	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0674960001	MEDICARE NSC
2	52KILLEYECT01	OTHER	CONNECTICUT	BLUE CROSS BLUE SHIELD
3	C02401	MEDICARE PIN	CONNECTICUT
4	4188258	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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