| Jennifer L Capstick, OD | |
|
83 Quarry St, Willimantic, CT 06226-1238 | |
| (860) 423-1619 | |
| (860) 423-7640 |
| Full Name | Jennifer L Capstick |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 13 Years |
| Location | 83 Quarry St, Willimantic, Connecticut |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598195216 | NPI | - | NPPES |
| 3067 | Other | CT | STATE LICENSE |
| 27OA00646000 | Other | NJ | STATE LICENSE |
| CSP.0067484 | Other | CT | STATE CONTROLLED SUBSTANCE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 27OA00646000 (New Jersey) | Secondary |
| 152W00000X | Optometrist | 3067 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Westchester Eye Care | 7214251255 | 4 |
| Norwich Optometry Llc | 7517358823 | 2 |
| Eye Care Northeast, Pc | 8729115340 | 4 |
| Provider Name | Eye Care Northeast, Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487740411 PECOS PAC ID: 8729115340 Enrollment ID: O20100429000774 |
| Provider Name | Westchester Eye Care |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427452473 PECOS PAC ID: 7214251255 Enrollment ID: O20150121001694 |
| Provider Name | Norwich Optometry Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1386208288 PECOS PAC ID: 7517358823 Enrollment ID: O20211221002151 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L Capstick, OD 83 Quarry St, Willimantic, CT 06226-1238 Ph: (860) 423-1619 | Jennifer L Capstick, OD 83 Quarry St, Willimantic, CT 06226-1238 Ph: (860) 423-1619 |
Dr. Beth Ann Schramm, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 16 Walnut St, Willimantic, CT 06226 Phone: 860-423-2565 | |
Kristie Katkavich, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1120 Main St, Willimantic, CT 06226 Phone: 860-423-2111 Fax: 860-423-7559 | |
Sean D. Mckeown, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 16 Walnut St, Willimantic, CT 06226 Phone: 860-423-2565 | |
Tricounty Vision Associates, L.l.c. Optometrist Medicare: Medicare Enrolled Practice Location: 16 Walnut St, Willimantic, CT 06226 Phone: 860-423-2565 Fax: 860-423-8058 | |
Robert F. Dibble Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1120 Main St, Willimantic, CT 06226 Phone: 860-423-2111 Fax: 860-423-7559 | |
Robert F. Dibble, M. D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1120 Main St, Willimantic, CT 06226 Phone: 860-423-2111 Fax: 860-423-7559 |