ERICA A. NIERENDORF (O.D.) – Optometrist, NPI 1376750786

ERICA A. NIERENDORF (O.D.) is a healthcare provider. based in Bristol, Connecticut. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 965 (CT). The NPI Number for ERICA A. NIERENDORF (O.D.) is 1376750786

Main info

Female
44 Years Of Experience
Accepts Medicare Assignment
Name
ERICA A. NIERENDORF (O.D.)
NPI
1376750786
Phone
(860) 314-2949
Address
72 FARMINGTON AVE
Enumeration Date
16 May 2007
Last Update Date
4 November 2019

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
8603142949
Graduation Year
1982 (44 years ago)
PAC ID
4385833144
Group Practice PAC ID
8527493030
Professional Enrollment ID
I20110110000223
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ERICA A. NIERENDORF (O.D.)

  • 72, Farmington Avenue, Federal Hill Historic District, Bristol, Naugatuck Valley Planning Region, Connecticut, 06010, United States

    BRISTOL, CT 060104216

    Phone: (860) 314-2949

    Fax: (860) 314-2951

    Type: Location

  • 380, Main Street, Avon-by-the-Sea, Monmouth County, New Jersey, 07717, United States

    AVON, CT 060013690

    Phone: (860) 409-4565

    Fax: (860) 409-4566

    Type: Mailing

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: 2011-01-10

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
I20110110000223IOptometryCTTBD

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
92250Photography of the retina3433$0
92014Established patient complete exam of visual system2625$0
92004New patient complete exam of visual system2424$0
View full utilization report →

Insurance plans in this area (ZIP 06010)

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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: 8527493030View full group profile
NameSpecialtyState
O P T O M E T R YMD
-CT
O P H T H A L M O L O G YCT
O P T O M E T R YCT
O P T O M E T R YCT

Reviews

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Frequently asked questions

What number should I use to identify ERICA A. NIERENDORF (O.D.) for billing?
Administrative and clinical systems typically use NPI 1376750786 for ERICA A. NIERENDORF (O.D.).
Is ERICA A. NIERENDORF (O.D.)'s NPI status active today?
Active status means ERICA A. NIERENDORF (O.D.)'s NPI record is not deactivated in the public file.
What services align with ERICA A. NIERENDORF (O.D.)'s listing?
ERICA A. NIERENDORF (O.D.)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Is ERICA A. NIERENDORF (O.D.) tied to Bristol, Connecticut?
If you are local to Bristol, Connecticut, ERICA A. NIERENDORF (O.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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