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CONNECTICUT RETINA CONSULTANTS LLC NPI 1134246853


NPI Information

NPI: 1134246853
Provider Name: CONNECTICUT RETINA CONSULTANTS LLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
46 PRINCE STREET
SUITE 203
NEW HAVEN, CT
ZIP 06519
Phone: (203) 787-6161
Get Directions

CONNECTICUT RETINA CONSULTANTS LLC is an ophthalmology in New Haven, 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 RETINA CONSULTANTS LLC NPI is 1134246853. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

46 PRINCE STREET
SUITE 203
NEW HAVEN, CT
ZIP 06519-600
Phone: (203) 787-6161
Fax: (203) 776-0300

The provider's authorized official is Wayne Ian Larrison .
The authorized official title is Partner/physician and has the following contact phone number (203) 787-6161.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 9/8/2023.


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
1207W00000XOphthalmology03754CONNECTICUTYes

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
1004203163MEDICAIDCONNECTICUT
2180040407OTHERCONNECTICUTRAILROAD MEDICARE
3001307546MEDICAIDCONNECTICUT
4P00412496OTHERCONNECTICUTMEDICARE RAIL ROAD
5180042135OTHERCONNECTICUTRAILROAD MEDICARE
6CH2721OTHERCONNECTICUTRAILROAD MEDICARE
7001367300MEDICAIDCONNECTICUT
8001337303MEDICAIDCONNECTICUT
9180040406OTHERCONNECTICUTRAILROAD MEDICARE

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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