New Haven Ophthalmology Associates, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

NEW HAVEN OPHTHALMOLOGY ASSOCIATES, PC

Practice address

455 Orange St
New Haven, CT 06511-6202

Phone

(203) 865-8002

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Vanessa Ann Bergevin

Title

Office Manager

Phone

(203) 865-8002

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Eligio Anthony Petrelli, M.D.

  • Ophthalmology Physician
  • New Haven, CT
  • NPI 1316984479
  NPD (past)
• Richard L. Petrelli, M.D.

  • Ophthalmology Physician
  • Hamden, CT
  • NPI 1225075385
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194771790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 ORANGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116202",
            "telephone_number": "203-865-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 ORANGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116202",
            "telephone_number": "203-865-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAVEN OPHTHALMOLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGEVIN",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "203-865-8002"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• New Haven Pediatric & Adolescent Medical Serv
• New Haven Pharmacy, Inc
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• New Haven Podiatry Associates LLP
• New Haven Prosthodontics, PC

• Ophthalmology Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Ophthalmology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.