Active NPI
Hartford Eye Physicians PC
- Ophthalmology Physician
- Glastonbury, CT
National Provider Identifier
1114986346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0351860002 | Other | MEDICARE DURABLE MEDICAL EQUIPMENT PROVIDER NUMBER | |
| 004001640 | Medicaid | CT |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Customized Equipment (DME)
- Avon, CT
- NPI 1437276169
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Chapel Hill, NC
- NPI 1053370049
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
- Nyja Lascia Jean Hart
- Sandra E. Hartdagen, PH.D.
- Kara Lynn Harte, LMFT
- Hartford Clinical Associates, PC
- Hartford County Cardiology PC
- Hartford Healthcare Medical Group Specialists LLC
- Hartford Healthcare Medical Group, Inc
- Hartford Hospital
- Hartford Orthopaedic Plastic & Hand Surgeons Inc
- Hartford Orthopaedic Plastic & Hand Surgeons, Inc
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.