Active NPI
New Canaan Ophthalmology LLC
- Ophthalmology Physician
- New Canaan, CT
National Provider Identifier
1265719223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 025637
- Legal business name
- NEW CANAAN OPHTHALMOLOGY LLC
- Practice address
- 11 Burtis Ave
Suite 203
New Canaan, CT 06840-5532 - Phone
- (203) 966-6800
- Fax
- (203) 966-7721
- NPI assigned
- Nov 4, 2011
- 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. James W Talbot, MD
- Title
- MD, Owner
- Phone
- (203) 966-6800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 025637 | CT | Primary |
Addresses
Primary practice location
11 Burtis Ave
Suite 203
New Canaan, CT 06840-5532
Mailing address
11 Burtis Ave
Suite 203
New Canaan, CT 06840-5532
Phone (203) 966-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001256379 | Medicaid | CT |
National Provider Directory
National Provider DirectoryLocations
11 Burtis Ave
Ste 203
New Canaan, CT 06840
Phone (203) 966-6800
11 Burtis Ave
New Canaan, CT 06840
Phone (203) 966-6800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384300800000",
"number": "1265719223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 BURTIS AVE",
"address_2": "SUITE 203",
"city": "NEW CANAAN",
"state": "CT",
"postal_code": "068405532",
"telephone_number": "203-966-6800",
"fax_number": "203-966-7721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 BURTIS AVE",
"address_2": "SUITE 203",
"city": "NEW CANAAN",
"state": "CT",
"postal_code": "068405532",
"telephone_number": "203-966-6800",
"fax_number": "203-966-7721"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW CANAAN OPHTHALMOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-04",
"last_updated": "2013-11-13",
"status": "A",
"authorized_official_last_name": "TALBOT",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "MD, OWNER",
"authorized_official_telephone_number": "203-966-6800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CT",
"license": "025637",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001256379",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Canaan, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.