DR. ELIZABETH C MCMUNN (O.D.) – Optometrist, NPI 1104808930
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. ELIZABETH C MCMUNN (O.D.)
PO BOX 751
EAST LYME, CT 063330751
Phone: (860) 857-9145
Type: Mailing
695 KINKAID RD
ANNAPOLIS, MD 214021006
Phone: (410) 293-4378
Type: Mailing
10101 MAPLE TREE LN
EAST LYME, CT 063331680
Phone: (860) 857-9145
Fax: (877) 612-6228
Type: Mailing
484 GRAYBACK AVE
GROTON, CT 06349
Phone: (860) 326-2248
Fax: (877) 612-6228
Type: Location
Flanders Road, Niantic, Flanders, East Lyme, Southeastern Connecticut Planning Region, Connecticut, 06357, United States
EAST LYME, CT 063331743
Phone: (860) 739-9900
Fax: (877) 469-5720
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2003-12-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031223000170 | I | Optometry | CT | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06333)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| O P T O M E T R Y | CT |
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