DR. NICOLE BRODEN (OD) – Optometrist, NPI 1891356606
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
530 OPTOMETRY in CT
Provider Addresses for DR. NICOLE BRODEN (OD)
478 BURNSIDE AVE
EAST HARTFORD, CT 061082425
Phone: (860) 528-1359
Type: Mailing
Veterans Affairs Connecticut Healthcare System Newington Campus, 555, Willard Avenue, Newington Junction South Historic District, Newington Junction, Newington, Hartford County, Connecticut, 06111, United States
NEWINGTON, CT 061112631
Phone: (860) 666-6951
Type: Mailing
20710 KEOKUK AVE
LAKEVILLE, MN 550446620
Phone: (612) 354-5931
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: 2020-09-18
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 |
|---|---|---|---|---|
| I20200918002216 | 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 06108)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| Physician Assistant | CT | |
| - | CT | |
| Registered Dietitian Or Nutrition Professional | CT | |
| Certified Nurse Midwife (Cnm) | MA | |
| - | CT | |
| P O D I A T R Y | NY | |
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| - | IL |
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