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EYE CENTER OF SOUTHERN CONNECTUCUT PC NPI 1639245236


NPI Information

NPI: 1639245236
Provider Name: EYE CENTER OF SOUTHERN CONNECTUCUT, PC

Former Legal Business Name: EYE CENTER A MEDICAL SURGICAL GROUP

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
2880 OLD DIXWELL AVE
HAMDEN, CT
ZIP 06518
Phone: (203) 248-6365
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EYE CENTER OF SOUTHERN CONNECTUCUT, PC is an ophthalmology in Hamden, 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 CENTER OF SOUTHERN CONNECTUCUT, PC NPI is 1639245236. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Eye Center A Medical Surgical Group.

The provider's business location address is:

2880 OLD DIXWELL AVE
HAMDEN, CT
ZIP 06518
Phone: (203) 248-6365
Fax: (203) 281-2742

The provider's authorized official is Paul E Masi .
The authorized official title is President and has the following contact phone number (203) 248-6365.

The enumeration date for this NPI number is 11/27/2006 and was last updated on 1/31/2012.


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
1207W00000XOphthalmologyYes

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
1C00420MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
2004067435MEDICAIDCONNECTICUT

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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