Organization Active NPI

Hartford Eye Physicians PC

  • Ophthalmology Physician
  • Glastonbury, CT
National Provider Identifier
1114986346
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
HARTFORD EYE PHYSICIANS PC
Practice address
55 Nye Rd
Suite 104
Glastonbury, CT 06033-1281
Phone
(860) 633-6634
Fax
(860) 652-3291
NPI assigned
Mar 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Authorized official

Name
Scott L Dolin, MD
Title
President
Phone
(860) 633-6634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

55 Nye Rd
Suite 104
Glastonbury, CT 06033-1281

Mailing address

55 Nye Rd
Suite 104
Glastonbury, CT 06033-1281
Phone (860) 633-6634

Other identifiers 2

IdentifierTypeStateIssuer
0351860002OtherMEDICARE DURABLE MEDICAL EQUIPMENT PROVIDER NUMBER
004001640MedicaidCT

National Provider Directory

National Provider Directory

Locations

100 Simsbury Rd
Ste 210
Avon, CT 06001
Phone (860) 633-6634

55 Nye Rd
Glastonbury, CT 06033
Phone (860) 430-1132

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1114986346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 NYE RD",
            "address_2": "SUITE 104",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331281",
            "telephone_number": "860-633-6634",
            "fax_number": "860-652-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 NYE RD",
            "address_2": "SUITE 104",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331281",
            "telephone_number": "860-633-6634",
            "fax_number": "860-652-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD EYE PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "DOLIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-633-6634",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DURABLE MEDICAL EQUIPMENT PROVIDER NUMBER",
            "identifier": "0351860002",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004001640",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.