Eye Surgery Associates LLC

Primary specialty

Contact Lens Technician/TechnologistTaxonomy code 156FC0800X

Legal business name

EYE SURGERY ASSOCIATES LLC

Practice address

495 Hawley LN
Stratford, CT 06614-1514

Phone

(203) 375-5819

Fax

(203) 377-4337

NPI assigned

Oct 23, 2017

Organization subpart

Yes

Parent organization

EYE SURGERY ASSOICIATES,LLCAs reported in NPPES

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

Authorized official

Name

Shirley Corbo

Title

Administrator

Phone

(203) 375-5819

Specialties & licenses 1

Addresses

Other names 1

• eye surgery associates optical , llc Doing business as

Part of

Perry Seamonds MD

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1114438652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 HAWLEY LN",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141514",
            "telephone_number": "203-375-5819",
            "fax_number": "203-377-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 HAWLEY LN",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141514",
            "telephone_number": "203-375-5819",
            "fax_number": "203-377-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGERY ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE SURGERY ASSOICIATES,LLC",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "CORBO",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "203-375-5819"
    },
    "taxonomies": [
        {
            "code": "156FC0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eye surgery associates optical , llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly A Estes, PT
• Amanda Evanko, CCC-SLP
• Tanisha Evans
• Everyday Milestones
• Joyce A Evon, LPC
• Eye Surgery Associates LLC
• Eye Surgery Associates Optical, LLC
• Carly Margaret Fabbri
• Fairfield County Mental Wellness Counseling, LLC
• Fairfield County Surgical Associates PC

• Technician/Technologist in Stratford, CT
• Providers in Stratford, CT by specialty
• Technician/Technologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.