Wild Apple Eye LLC
NPI 1104465939 · Optometrist · Centerbrook, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wild Apple Eye LLC is a Optometrist organization in Centerbrook, CT (NPI 1104465939).
Provider details
- NPI number
- 1104465939
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Nicholas Paradis, Optometrist(860) 577-2012
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 484 Grayback AvenueBuilding #4Groton, CT 06349Phone: (860) 326-2247
Registry dates
- Enumerated
- 2019-12-26
- Last updated
- 2020-09-29
- Certified
- 2020-09-29
Frequently asked questions
- What is Wild Apple Eye LLC's NPI number?
- Wild Apple Eye LLC's National Provider Identifier (NPI) is 1104465939, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wild Apple Eye LLC?
- Wild Apple Eye LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Wild Apple Eye LLC located?
- Wild Apple Eye LLC's practice location on file with NPPES is 90 Main St Ste 101, Centerbrook, CT 06409-1057.
- What is Wild Apple Eye LLC's phone number?
- The practice phone number listed in the NPPES registry for Wild Apple Eye LLC is (860) 767-3206.
- Does Wild Apple Eye LLC accept Medicare?
- Wild Apple Eye LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wild Apple Eye LLC?
- The authorized official listed on Wild Apple Eye LLC's NPPES record is Nicholas Paradis, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wild Apple Eye LLC's NPI active?
- Yes — Wild Apple Eye LLC's NPI (1104465939) is active in the NPPES registry as of the last update on 2020-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.