Optometric Specialty Group Limited Liability Company
NPI 1184717365 · Optometrist · West Hartford, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Optometric Specialty Group Limited Liability Company is a Optometrist organization in West Hartford, CT (NPI 1184717365).
Provider details
- NPI number
- 1184717365
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Edie Ryba, Practice Manager(860) 236-1218
- License
- 02448 (CT)
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
19 yrs 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
- 2006-10-02
- Last updated
- 2010-03-08
Frequently asked questions
- What is Optometric Specialty Group Limited Liability Company's NPI number?
- Optometric Specialty Group Limited Liability Company's National Provider Identifier (NPI) is 1184717365, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Optometric Specialty Group Limited Liability Company?
- Optometric Specialty Group Limited Liability Company is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Optometric Specialty Group Limited Liability Company located?
- Optometric Specialty Group Limited Liability Company's practice location on file with NPPES is 77 S Main St, West Hartford, CT 06107-2404.
- What is Optometric Specialty Group Limited Liability Company's phone number?
- The practice phone number listed in the NPPES registry for Optometric Specialty Group Limited Liability Company is (860) 236-1218.
- Does Optometric Specialty Group Limited Liability Company accept Medicare?
- Optometric Specialty Group Limited Liability Company 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 Optometric Specialty Group Limited Liability Company?
- The authorized official listed on Optometric Specialty Group Limited Liability Company's NPPES record is Edie Ryba, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Optometric Specialty Group Limited Liability Company's NPI active?
- Yes — Optometric Specialty Group Limited Liability Company's NPI (1184717365) is active in the NPPES registry as of the last update on 2010-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.