Eye Physicians of Central CT PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EYE PHYSICIANS OF CENTRAL CT PC

Doing business as

Advanced Optical

Practice address

546 So Broad St
Meriden, CT 06450

Phone

(203) 630-3634

Fax

(203) 639-0809

NPI assigned

Dec 27, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William C Hall, MD

Title

President / Physician

Phone

(203) 235-2511

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Optical Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1083779219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 SO BROAD ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "06450",
            "telephone_number": "203-630-3634",
            "fax_number": "203-639-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 SO BROAD ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "06450",
            "telephone_number": "203-630-3634",
            "fax_number": "203-639-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PHYSICIANS OF CENTRAL CT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT / PHYSICIAN",
        "authorized_official_telephone_number": "203-235-2511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004086949",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jon J Ernstoff, M.D.
• Amy L Escobar-Perez, OTR
• Itoro Joseph Etim
• Nicole K Evanko, APRN
• Eye Physicians of Central CT
• Eye Physicians of Central CT PC
• Eye Surgical Consultants
• Julie Falk, PHARMD
• Family First Transportation Services, LLC
• Family Services of Central Connecticut, Inc.

• Eyewear Supplier in Meriden, CT
• Providers in Meriden, CT by specialty
• Eyewear Supplier in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.