DR. KONSTANTIN FISHILEVICH (OD) – Optometrist, NPI 1902225055

DR. KONSTANTIN FISHILEVICH (OD) is a healthcare provider. based in Orange, Connecticut. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3227 (CT). The NPI Number for DR. KONSTANTIN FISHILEVICH (OD) is 1902225055

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. KONSTANTIN FISHILEVICH (OD)
NPI
1902225055
Phone
(203) 795-0766
Address
325 Boston Post Rd Ste 1A
Enumeration Date
15 April 2014
Last Update Date
24 April 2024

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Secondary Phone
2037950766
Graduation Year
2014 (12 years ago)
PAC ID
3870800154
Group Practice PAC ID
9133161128
Professional Enrollment ID
I20220207001088
Address ID
CT064773504OR325XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

530 OPTOMETRY in CT

Provider Addresses for DR. KONSTANTIN FISHILEVICH (OD)

  • 325 Boston Post Rd Ste 1A

    Orange, CT 064773504

    Phone: (203) 795-0766

    Type: Location

  • 2 Trap Falls Rd Ste 104

    Shelton, CT 064844616

    Phone: (203) 944-0464

    Type: Location

  • 1236 Main St

    Branford, CT 064053797

    Phone: (203) 488-5688

    Type: Location

  • 451 CLARKSON AVE

    E BUILDING 8TH FLOOR WEST

    BROOKLYN, NY 112032054

    Phone: (718) 245-5460

    Type: Mailing

  • 202 CHERRY ST

    MILFORD, CT 064603538

    Phone: (203) 878-1236

    Fax: (203) 874-8838

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $941.

Total Amount is formed as General ($941) + Research ($0) + Ownership ($0) = $941.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Alcon Vision LLC ($353).

Total Amount

$941

General + Research + Ownership

Payments

31

Total payment records

General Amount

$941

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

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: 2022-02-07

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
I20220207001088IOptometryCTTBD

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
92012Established patient problem focused exam of visual system145108$0
92014Established patient complete exam of visual system141141$0
92004New patient complete exam of visual system6767$0
92134Imaging of retina5450$0
99203New patient office or other outpatient visit, 30-44 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 06477)

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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: 9133161128View full group profile
NameSpecialtyState
O P T O M E T R YCT
-CT
O P H T H A L M O L O G YCT
-CT
O P H T H A L M O L O G YCT
O P H T H A L M O L O G YCT
O P H T H A L M O L O G YCT
O P H T H A L M O L O G YCT
O P H T H A L M O L O G YCT
O P H T H A L M O L O G YCT

Reviews

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Frequently asked questions

Does DR. KONSTANTIN FISHILEVICH (OD) have a public NPI I can cite?
Public records show DR. KONSTANTIN FISHILEVICH (OD) under NPI 1902225055.
Should I treat DR. KONSTANTIN FISHILEVICH (OD) as an active provider?
Patients and plans typically see DR. KONSTANTIN FISHILEVICH (OD) as active in the national extract.
What services align with DR. KONSTANTIN FISHILEVICH (OD)'s listing?
DR. KONSTANTIN FISHILEVICH (OD)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. KONSTANTIN FISHILEVICH (OD)?
DR. KONSTANTIN FISHILEVICH (OD) shows a connection to Orange, Connecticut in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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