Manchester Ophthalmology, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MANCHESTER OPHTHALMOLOGY, LLC

Practice address

732 Main St
Manchester, CT 06040-5106

Phone

(860) 649-5177

Fax

(860) 643-4901

NPI assigned

Jun 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard D. Carlton, M.D.

Title

Owner

Phone

(860) 649-5177

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1134324205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405106",
            "telephone_number": "860-649-5177",
            "fax_number": "860-643-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405106",
            "telephone_number": "860-649-5177",
            "fax_number": "860-643-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER OPHTHALMOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "CARLTON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-649-5177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manchester Memorial Hospital
• Manchester Memorial Hospital
• Manchester Memorial Hospital, Inc.
• Manchester Memorial Hospital, Inc.
• Manchester Memorial Hospital, Inc.
• Manchester Oral and Implant Surgery PLLC
• Manchester Orthopedic Surgery & Sport Medicine
• Manchester Pharmacy LLC
• Manchester Pharmacy, LLC
• Manchester Pharmacy,LLC

• Ophthalmology Physician in Manchester, CT
• Providers in Manchester, CT by specialty
• Ophthalmology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.