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CONNECTICUT EYE CENTER P.C. NPI 1215057435


NPI Information

NPI: 1215057435
Provider Name: CONNECTICUT EYE CENTER, P.C.
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 07D1058064

Address:
639 PARK RD
SUITE #100
WEST HARTFORD, CT
ZIP 06107
Phone: (860) 521-9230
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CONNECTICUT EYE CENTER, P.C. is an ophthalmology in West Hartford, CT. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. CONNECTICUT EYE CENTER, P.C. NPI is 1215057435. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

639 PARK RD
SUITE #100
WEST HARTFORD, CT
ZIP 06107-443
Phone: (860) 521-9230
Fax: (860) 521-1709

The provider's authorized official is Patrick F. Ablergo .
The authorized official title is President and has the following contact phone number (860) 521-9230.

The CLIA number assigned to this NPI record is 07D1058064 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology29084CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11290189MEDICAIDCONNECTICUT
21290840MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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