Active NPI 1043393473 Individual Practitioner Male Practitioner

Dr. Armando Rafael , OD

Optometrist • Meriden, CT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Armando Rafael, OD is a certified Optometrist practicing in Meriden, CT. With approximately 43 years of clinical experience since completing medical education in 1983, Dr. Rafael delivers high-quality medical care to the local community at 512 W MAIN ST.

Dr. Rafael maintains professional affiliations with B.E.K Eyecare, Inc, Plainville Optometrics Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, new patient complete exam of visual system, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

512 W Main St
Castle View Plaza

Meriden, CT 064512758

Telephone 2032352015

Fax 2032381432

Associated Practice Facility / Clinic

🏢 B.e.k Eyecare, Inc Facility NPI 1295939155

Medicare Profile & Education

Medical School

Other

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Meriden, CT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +22.3 yrs vs City Avg

City Avg: 20.7 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

11 Specialists

Practicing in Meriden, CT (704 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

23.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rafael (43 Years) 43 Yrs

Meriden Specialty Average (20.7 Years) 20.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	76	75	$160.86	$131.80
92004 New patient complete exam of visual system	33	33	$175.00	$155.83
99213 Established patient office or other outpatient visit, typically 15 minutes	21	18	$90.48	$89.20
92250 Photography of the retina	16	16	$115.00	$38.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	76	76	$161.58	$134.81
99213 Established patient office or other outpatient visit, typically 15 minutes	40	28	$91.25	$89.76
92004 New patient complete exam of visual system	21	21	$175.00	$159.54
92250 Photography of the retina	13	13	$115.00	$39.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	118	118	$160.89	$137.71
99213 Established patient office or other outpatient visit, typically 15 minutes	54	42	$91.30	$90.24
92004 New patient complete exam of visual system	42	42	$175.00	$162.87
92250 Photography of the retina	21	19	$115.00	$40.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	131	131	$160.31	$138.24
92004 New patient complete exam of visual system	46	46	$175.00	$164.66
99213 Established patient office or other outpatient visit, typically 15 minutes	39	31	$90.00	$90.00
92250 Photography of the retina	34	34	$115.00	$43.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	138	138	$160.47	$137.98
99213 Established patient office or other outpatient visit, typically 15 minutes	64	46	$90.47	$81.43
92250 Photography of the retina	47	45	$115.00	$49.10
92004 New patient complete exam of visual system	34	34	$175.00	$163.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	205	205	$161.10	$134.29
99213 Established patient office or other outpatient visit, typically 15 minutes	108	71	$91.39	$77.73
92004 New patient complete exam of visual system	89	89	$174.89	$160.06
92250 Photography of the retina	87	83	$115.00	$53.51
92145 Measurement of corneal pressure	26	21	$25.00	$17.17
92083 Exam of visual field with extended testing	20	19	$95.00	$67.95
92134 Imaging of retina	18	16	$65.00	$43.03
92133 Imaging of optic nerve	13	11	$65.00	$37.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,610	16	$2.39	$1.45
92014 Established patient complete exam of visual system	256	256	$160.88	$129.16
99213 Established patient office or other outpatient visit, typically 15 minutes	112	85	$91.70	$74.16
92250 Photography of the retina	89	88	$115.00	$58.81
92004 New patient complete exam of visual system	80	80	$174.75	$154.15
92145 Measurement of corneal pressure	49	35	$25.00	$17.17
83861 Microfluid analysis of tears	34	15	$25.00	$22.03
92134 Imaging of retina	23	21	$65.00	$42.56
92133 Imaging of optic nerve	21	18	$65.00	$38.30
92083 Exam of visual field with extended testing	16	14	$95.00	$66.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	306	304	$160.92	$125.21
99213 Established patient office or other outpatient visit, typically 15 minutes	136	100	$92.21	$73.71
92250 Photography of the retina	124	124	$115.00	$67.62
92004 New patient complete exam of visual system	103	103	$175.00	$150.76
83861 Microfluid analysis of tears	56	25	$25.00	$22.21
92145 Measurement of corneal pressure	43	38	$25.00	$17.43
92083 Exam of visual field with extended testing	27	26	$95.00	$65.51
92133 Imaging of optic nerve	23	19	$65.00	$37.03
92134 Imaging of retina	13	13	$65.00	$41.35

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CT CT1012

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

004061248 (CT)

Hospital & Practice Group Affiliations

Plainville Optometrics Llc

28 E St, Plainville, CT 060622309

Phone: 8607939378

B.e.k Eyecare, Inc

512 W Main St, Meriden, CT 064512758

Phone: 2032352015

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Ashleigh Dively , OD

Optometrist

NPI 1144110065

Doctor of Optometry

Dr. Nancy Bui , OD

Optometrist

NPI 1760262844

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 15, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location February 15, 2010

Registered at 512 W MAIN ST, CASTLE VIEW PLAZA, MERIDEN, CT 064512758 (Tel: 2032352015)

📍

Updated Business Mailing Address February 15, 2010

Registered at 512 W MAIN ST, CASTLE VIEW PLAZA, MERIDEN, CT 064512758 (Tel: 2032352015)

👤

Provider Name / Credentials Updated February 15, 2010

Recorded as ARMANDO RAFAEL, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2010

Optometrist (License #CT1012 in CT)

🟢

Initial NPI Registration & Enumeration October 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043393473

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 21, 2006

Last Update: February 15, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

512 W Main St, Castle View Plaza

Meriden, CT 064512758

Phone: 2032352015

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.