Active NPI
Eye MD LLC
- Ophthalmology Physician
- Old Saybrook, CT
National Provider Identifier
1215065800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- EYE MD LLC
- Practice address
- 48 Main St
Old Saybrook, CT 06475-1510 - Phone
- (860) 388-1251
- Fax
- (860) 388-1253
- NPI assigned
- Mar 2, 2007
- 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
- Dr. John Brian Hornby
- Title
- Owner
- Phone
- (860) 388-1251
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | |||
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
48 Main St
Old Saybrook, CT 06475-1510
Mailing address
48 Main St
Old Saybrook, CT 06475-1510
Phone (860) 388-1251
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001261650 | Medicaid | CT | |
| P523114 | Other | CT | OXFORD |
| 561020 | Other | CT | AETNA |
| 010026165CT01 | Other | CT | ANTHEM BCBS |
| 026165 | Other | CT | CONNECTICARE |
| OVO462 | Other | CT | HEALTH NET |
National Provider Directory
National Provider DirectoryLocations
48 Main St
Old Saybrook, CT 06475
Phone (860) 388-1251
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optician
- Old Saybrook, CT
- NPI 1326176926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208908800000",
"number": "1215065800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 MAIN ST",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064751510",
"telephone_number": "860-388-1251",
"fax_number": "860-388-1253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 MAIN ST",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064751510",
"telephone_number": "860-388-1251",
"fax_number": "860-388-1253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-02",
"last_updated": "2008-04-23",
"status": "A",
"authorized_official_last_name": "HORNBY",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "BRIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "860-388-1251",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001261650",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P523114",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "561020",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "010026165CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "026165",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "OVO462",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Old Saybrook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.