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CONNECTICUT EYE PHYSICIANS & SURGEONS LLC NPI 1760675409


NPI Information

NPI: 1760675409
Provider Name: CONNECTICUT EYE PHYSICIANS & SURGEONS LLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
479 BUCKLAND RD
SOUTH WINDSOR, CT
ZIP 06074
Phone: (860) 644-5011
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CONNECTICUT EYE PHYSICIANS & SURGEONS LLC is an ophthalmology in South Windsor, 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 PHYSICIANS & SURGEONS LLC NPI is 1760675409. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

479 BUCKLAND RD
SOUTH WINDSOR, CT
ZIP 06074-739
Phone: (860) 644-5011
Fax: (860) 644-4833

The provider's authorized official is Richard J Manganiello .
The authorized official title is Owner;/provider and has the following contact phone number (860) 644-5011.

The enumeration date for this NPI number is 8/27/2007 and was last updated on 7/1/2010.


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
1207W00000XOphthalmology035387CONNECTICUTYes

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
1001353870MEDICAIDCONNECTICUT
2G27130MEDICARE UPINCONNECTICUT

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: 11/14/2023

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