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EYE MD LLC NPI 1215065800


NPI Information

NPI: 1215065800
Provider Name: EYE MD LLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
48 MAIN ST
OLD SAYBROOK, CT
ZIP 06475
Phone: (860) 388-1251
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EYE MD LLC is an ophthalmology in Old Saybrook, 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. EYE MD LLC NPI is 1215065800. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

48 MAIN ST
OLD SAYBROOK, CT
ZIP 06475-510
Phone: (860) 388-1251
Fax: (860) 388-1253

The provider's authorized official is John Brian Hornby .
The authorized official title is Owner and has the following contact phone number (860) 388-1251.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 4/23/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156FX1800XTechnician/TechnologistOpticianNo
2207W00000XOphthalmologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1OVO462OTHERCONNECTICUTHEALTH NET
2561020OTHERCONNECTICUTAETNA
3001261650MEDICAIDCONNECTICUT
4010026165CT01OTHERCONNECTICUTANTHEM BCBS
5180000689MEDICARE ID-TYPE UNSPECIFIED
6P523114OTHERCONNECTICUTOXFORD
7026165OTHERCONNECTICUTCONNECTICARE
85934040001MEDICARE NSCCONNECTICUT

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: 5/5/2024

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