Connecticut Eye Center, P.C.
Organization Active NPI Ophthalmology Physician · West Hartford, CT
NPI 1215057435 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1215057435
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 29084 (CT)
- Legal business name
- CONNECTICUT EYE CENTER, P.C.
- Practice address
- 639 Park Rd
Suite #100
West Hartford, CT 06107-3443 - Phone
- (860) 521-9230
- Fax
- (860) 521-1709
- NPI assigned
- Mar 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Patrick F. Ablergo, M.D.
- Title
- President
- Phone
- (860) 521-9230
Practitioners 2
-
Patrick F Albergo, M.D.
-
Duane F Austin, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D2070773 | Connecticut Eye Center PC | Certificate of waiver | Dec 22, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050224000156 | CT | Part B Supplier - Clinic/Group Practice | 3779536230 |
Receives reassigned benefits from 2 practitioners Practice locations: Avon, CT; West Hartford, CT |
National Provider Directory
Locations
43 Woodland St
Ste 120
Hartford, CT 06105
Phone (860) 417-8030
381 Hopmeadow St
Ste 206
Weatogue, CT 06089
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | 29084 | CT | Yes |
Addresses
Primary practice location
639 Park Rd
Suite #100
West Hartford, CT 06107-3443
Mailing address
639 Park Rd
Suite #100
West Hartford, CT 06107-3443
Phone (860) 521-9230
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1290840 | Medicaid | CT | |
| 1290189 | Medicaid | CT |
Other providers in West Hartford, CT
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- Connecticut CVS Pharmacy, L.L.C.
- Connecticut CVS Pharmacy, L.L.C.
- Connecticut CVS Pharmacy, L.L.C.
- Connecticut Family Acupuncture, LLC
- Connecticut Family Acupuncture, LLC
- Connecticut Geriatric Specialty Group, PC
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- Connecticut Surgical Group, PC
All providers in West Hartford, CT · Ophthalmology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.