OptiMystic – Optometrist, NPI 1770750010

OptiMystic is a healthcare provider. based in Killingworth, Connecticut. specializing in Optometrist. The organization holds a License No. 002282 (CT). The NPI Number for OptiMystic is 1770750010

Main info

Organization
Name
OptiMystic
NPI
1770750010
Phone
(860) 405-5555
Address
540 ROUTE 148
Authorized Official
DR. THOMAS JEFFREY WAGNER OWNER/OPTOMETRIST O.D., M.S.
Enumeration Date
15 May 2008
Last Update Date
15 May 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness80
Years active:18State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for OptiMystic

  • Killingworth Land Conservation Trust, Inc. (Route 148), Killingworth, Middlesex County, Connecticut, United States

    KILLINGWORTH, CT 064191107

    Phone: (860) 405-5555

    Type: Mailing

  • 5, Water Street, Mystic River Historic District, Mystic, Groton, New London County, Connecticut, 06355, United States

    C/O OPTIMYSTIC

    MYSTIC, CT 063552507

    Phone: (860) 536-1313

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 06419)

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Reviews

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Frequently asked questions

What is the standard ID for OptiMystic in the U.S.?
In the U.S., OptiMystic is identified by NPI 1770750010.
Does the public listing show OptiMystic as active?
OptiMystic's NPI record reflects an active status in NPPES.
How should patients interpret OptiMystic's specialty?
The extract shows Optometrist for OptiMystic. Clinical services aligned with this taxonomy classification.
Is OptiMystic tied to Killingworth, Connecticut?
If you are local to Killingworth, Connecticut, OptiMystic may be relevant to your search.
Why is information missing for OptiMystic?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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