Active NPI
Refocus Eye Health of Central Connecticut PC
- Eyewear Supplier
- Meriden, CT
National Provider Identifier
1053083253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- REFOCUS EYE HEALTH OF CENTRAL CONNECTICUT PC
- Practice address
- 546 S Broad St Ste 1D
Meriden, CT 06450-6601 - Phone
- (203) 235-2511
- Fax
- (203) 639-0809
- NPI assigned
- Oct 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Rinkov
- Title
- Ceo
- Phone
- (203) 574-2020
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | |||
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
546 S Broad St Ste 1D
Meriden, CT 06450-6601
Mailing address
87 Grandview Ave
Waterbury, CT 06708-2514
Phone (203) 574-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220315000407 | CT | DME Supplier - Physician - Ophthalmology | 5597176834 | Practice locations: Meriden, CT |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Eyewear Supplier
- Cheshire, CT
- NPI 1609548809
5597176834
-
- Ophthalmology Physician
- Waterbury, CT
- NPI 1548874936
5597176834
-
- Eyewear Supplier
- Waterbury, CT
- NPI 1689459471
5597176834
National Provider Directory
National Provider Directory- Tax ID family
- Refocus Eye Health of Central Connecticut PC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Cheshire, CT
- NPI 1609548809
-
- Ophthalmology Physician
- Waterbury, CT
- NPI 1548874936
-
- Eyewear Supplier
- Waterbury, CT
- NPI 1689459471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681344000000",
"number": "1053083253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 GRANDVIEW AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082514",
"telephone_number": "203-574-2020",
"fax_number": "203-596-2230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "546 S BROAD ST STE 1D",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064506601",
"telephone_number": "203-235-2511",
"fax_number": "203-639-0809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REFOCUS EYE HEALTH OF CENTRAL CONNECTICUT PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-05",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A",
"authorized_official_last_name": "RINKOV",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "203-574-2020"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meriden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.