MICAELA RAE GOBEILLE, OD — NPI 1033602230 (Licensed & Credentialed Eye and Vision Service Providers

CMS-1500 Box 24J / 33a • NPI

1033602230

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

152W00000X (CMS 41)

Licensed & Credentialed Eye and Vision Service Providers — Optometrist

Box 32 Service Location & ZIP+4

163 BROADWAY ST, COLCHESTER, CT, 06415-1022

✓ 9-Digit EDI 837 ZIP+4 (06415-1022)

Practice Phone & Referral Fax

(860) 537-2020

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1033602230 (MICAELA RAE GOBEILLE, OD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1033602230` (NPI-1 Individual Practitioner)
Provider / Legal Name	MICAELA RAE GOBEILLE, OD
Plain-English Specialty	Licensed & Credentialed Eye and Vision Service Providers — Optometrist NUCC Code: `152W00000X` (Optometrist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	163 BROADWAY ST, COLCHESTER, CT, 06415-1022
Practice Telephone / Fax	Tel: (860) 537-2020
Administrative Mailing Address	16 LINWOOD RD, CUMBERLAND, RI, 02864-5207
Enumeration & Last Sync	Enumerated: 2018-06-12 \| CMS Record Updated: 2022-10-20

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

163 BROADWAY ST, COLCHESTER, CT, 06415-1022

🗺️ Open in Google Maps 🏥 More Providers in COLCHESTER

🔒 Are you MICAELA RAE GOBEILLE, OD? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (152W00000X)

What Does Taxonomy Code 152W00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 152W00000X translates to:
"Licensed & Credentialed Eye and Vision Service Providers — Optometrist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 41 (Optometry)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Optometrist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MICAELA RAE GOBEILLE, OD)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`152W00000X` — Optometrist Plain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist	State: MA \| License: `5455` \| Primary: Secondary
`152WL0500X` — Optometrist, Low Vision Rehabilitation Plain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist, Low Vision Rehabilitation	State: CT \| License: `3151` \| Primary: Secondary
`152W00000X` — Optometrist Plain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist	State: NY \| License: `PENDING` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

MICAELA RAE GOBEILLE, OD (NPI #1033602230)