DR. JOHN JOSEPH PULASKI (NPI# 1104930619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104930619 |
| Entity Type | Individual |
| Full Name | DR. JOHN JOSEPH PULASKI |
| Credential | O.D. |
| Practice Address |
625 Wolcott St Waterbury CT 06705-1342 |
| Practice Telephone | 2037548339 |
| Practice Fax Number | 2037539030 |
| Mailing Telephone | 2037548339 |
| Mailing Fax Number | 2037539030 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2008-03-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 000910 | CT | Eye and Vision Services Providers |
| N | 335E00000X | Prosthetic/Orthotic Supplier | 000910 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ANTHEM BLUE CROSS | 090000910CT01 | 01 |
| CT | AETNA US HEALTHCARE | 0043160 | 01 |
| CT | EYEMED | 115526 | 01 |
| CT | WELLCARE | 133167 | 01 |
| CT | CONNECTICARE | 762224 | 01 |
| CT | OXFORD | P379072 | 01 |
| CT | HEALTHNET | OV8953 | 01 |
| Street Address |
625 WOLCOTT ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06705-1342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114105293 | Upinder G Singh | Dentist | 625 Wolcott St, Dental Care, Waterbury, CT 06705 | 2008-01-31 |
| 1144369588 | Eyecare Center of Waterbury LLC | Prosthetic/Orthotic Supplier | 625 Wolcott St, Waterbury, CT 06705-1342 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598245037 | Karanbeer Singh Aulakh | Dentist | Smile & Shine Dental, 158 Manor Avenue, Waterbury, CT 06705 | 2018-08-15 |
| 1912495797 | Jennie Webb | Physician Assistant | 2247 E Main St Ste 103, Waterbury, CT 06705 | 2018-04-26 |
| 1558886671 | Macaela Cirish | Nurse Practitioner | 3801 East Main Street, Second Floor, Waterbury, CT 06705 | 2017-08-09 |
| 1033648464 | Mahwish Makhdoom | Pharmacist | 464 Reidville Drive, Waterbury, CT 06705 | 2017-06-08 |
| 1417407248 | Jaswinder Gulati | Dentist | 939 Wolcott Street Unit 5b, Waterbury, CT 06705 | 2016-10-05 |
| 1407272107 | Cori Capuano | Counselor | 230 Frost Rd Unit B, Waterbury, CT 06705 | 2014-03-05 |
| 1528403177 | Daniel G. Brennan | Dentist | 2457 East Main St, Waterbury, CT 06705 | 2013-05-08 |
| 1538419742 | Jenna Elizabeth Partola | Physician Assistant | 1327 Meriden Rd, Wolcott, CT 06705 | 2012-09-14 |
| 1710244785 | Mirta Sabino | Counselor | 126 Stonefield Dr, Waterbury, CT 06705 | 2012-04-16 |
| 1578849519 | Uday Shankar | Internal Medicine | 3801 E Main St Fl 2, Waterbury, CT 06705 | 2011-10-21 |
| Find all providers in zip 06705 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477097285 | Oec Waterbury LLC | Optometrist | 3528 E Main St, Waterbury, CT 06705-3873 | 2016-12-13 |
| 1386939510 | Fabian Cesar Villacis | Optometrist | 1320 W Main St Ste 3, Waterbury, CT 06708-3129 | 2011-06-15 |
| 1801966601 | Barbara Hope Kuznesof-knee | Optometrist | 910 Wolcott St., C/o Walmart Vision Center, Waterbury, CT 06705 | 2006-11-09 |
| 1508947029 | Kimberly Sue Owens | Optometrist | 910 Wolcott Street, Vision Center, Waterbury, CT 06705 | 2006-10-18 |
| 1497865729 | Domenico Trocchi | Optometrist | 481 Wolcott St, Waterbury, CT 06705-1247 | 2006-08-30 |
| 1528018157 | Shannon M Mulligan | Optometrist | 604 Lakewood Rd, Waterbury, CT 06704-2419 | 2006-05-12 |
| 1083615850 | Audrey S Fung | Optometrist | 3600 E Main St, Waterbury, CT 06705-3851 | 2005-08-03 |
| 1841298080 | Thomas W Meaker | Optometrist | 31 N Main St, Waterbury, VT 05676-1835 | 2005-07-12 |
| 1487268702 | Clarity Eye Care LLC | Optometrist | 3600 E Main St, Waterbury, CT 06705-3851 | 2020-09-03 |
| 1548874936 | Refocus Eye Health of Central Connecticut, P.C. | Optometrist | 87 Grandview Ave, Waterbury, CT 06708-2514 | 2020-09-02 |
| Find all providers in WATERBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.