DR. AUDREY S FUNG (OD) – Optometrist, NPI 1083615850

DR. AUDREY S FUNG (OD) is a healthcare provider. based in Waterbury, Connecticut. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 002621 (CT). The NPI Number for DR. AUDREY S FUNG (OD) is 1083615850

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. AUDREY S FUNG (OD)
NPI
1083615850
Phone
(203) 596-0406
Address
3600 E MAIN ST
Enumeration Date
3 August 2005
Last Update Date
27 June 2010

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
2032655152
Graduation Year
2003 (23 years ago)
PAC ID
5294779096
Group Practice PAC ID
5193812733
Professional Enrollment ID
I20100908000590
Address ID
CT064922464WA821XXEXTX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

530 OPTOMETRY in CT

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Provider Addresses for DR. AUDREY S FUNG (OD)

  • Costco, 3600, East Main Street, Waterbury, New Haven County, Connecticut, 06705, United States

    WATERBURY, CT 067053851

    Phone: (203) 596-0406

    Fax: (203) 756-7316

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $444.

Total Amount is formed as General ($444) + Research ($0) + Ownership ($0) = $444.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Alcon Vision LLC ($182).

Total Amount

$444

General + Research + Ownership

Payments

21

Total payment records

General Amount

$444

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100908000590IOptometryCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
66984Removal of cataract with insertion of prosthetic lens1,89215$0
92250Photography of the retina114112$0
92014Established patient complete exam of visual system7070$0
99213Established patient office or other outpatient visit, 20-29 minutes4133$0
92004New patient complete exam of visual system2424$0
View full utilization report →

Insurance plans in this area (ZIP 06705)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193812733View full group profile
NameSpecialtyState
O P T O M E T R YNY
-CT
O P T O M E T R YCT

Reviews

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Frequently asked questions

How do payers reference DR. AUDREY S FUNG (OD)?
For DR. AUDREY S FUNG (OD), use NPI 1083615850 as the unique 10-digit identifier.
Active or inactive — what applies to DR. AUDREY S FUNG (OD)?
You should see DR. AUDREY S FUNG (OD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. AUDREY S FUNG (OD)?
At a glance, DR. AUDREY S FUNG (OD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. AUDREY S FUNG (OD) associated with Waterbury?
Public fields place DR. AUDREY S FUNG (OD) around Waterbury, Connecticut. Always confirm the exact site before visiting.
Does DR. AUDREY S FUNG (OD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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