Northeast Eyewear
NPI 1104630524 · Eyewear Supplier · Putnam, CT
Enrolled with Medicare as Dme Supplier - Optician · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northeast Eyewear is a Eyewear Supplier organization in Putnam, CT (NPI 1104630524).
Provider details
- NPI number
- 1104630524
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- James Dean, Owner(860) 928-0414
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2025-02-05
- Last updated
- 2025-02-05
- Certified
- 2025-02-05
Frequently asked questions
- What is Northeast Eyewear's NPI number?
- Northeast Eyewear's National Provider Identifier (NPI) is 1104630524, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Eyewear?
- Northeast Eyewear is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Northeast Eyewear located?
- Northeast Eyewear's practice location on file with NPPES is 5 Kennedy Dr, Putnam, CT 06260-1939.
- What is Northeast Eyewear's phone number?
- The practice phone number listed in the NPPES registry for Northeast Eyewear is (860) 928-0414.
- Does Northeast Eyewear accept Medicare?
- Northeast Eyewear 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 Northeast Eyewear?
- The authorized official listed on Northeast Eyewear's NPPES record is James Dean, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Eyewear's NPI active?
- Yes — Northeast Eyewear's NPI (1104630524) is active in the NPPES registry as of the last update on 2025-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.