Southeast Connecticut Eye Care, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

SOUTHEAST CONNECTICUT EYE CARE, LLC

Practice address

1041 Poquonnock Rd
Groton, CT 06340-4211

Phone

(860) 373-4148

Fax

(860) 661-0180

NPI assigned

Jun 20, 2017

Organization subpart

No

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

Authorized official

Name

Kevin Burke Cranmer, MDNPI 1790740934

Title

Owner

Phone

(860) 373-4148

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Burke Cranmer, M.D.

  • Ophthalmology Physician
  • Norwich, CT
  • NPI 1790740934
  Medicare reassignment Care Compare group NPD Authorized official
• Paul F Hyder, OD

  • Optometrist
  • Willimantic, CT
  • NPI 1912942210
  Medicare reassignment Care Compare group NPD
• William Joseph Kaufold, MD

  • Ophthalmology Physician
  • Norwich, CT
  • NPI 1518074145
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1326568502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CASE ST STE 215",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602222",
            "telephone_number": "860-373-4148",
            "fax_number": "860-661-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 POQUONNOCK RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404211",
            "telephone_number": "860-373-4148",
            "fax_number": "860-661-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST CONNECTICUT EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "CRANMER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "BURKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-373-4148",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "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": "001443556",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Anthony Smithson, PSYD
• Sol Integrative Wellness, LLC
• Kristine Elizabeth Sonstrom Malowski, AU.D., PH.D.
• Chastity Soto
• Soundview Orthopaedic Assoc. LLP
• Southeastern CT Primary Care, LLC
• David Graham Southerland, M.D.
• Maggie Spadaro
• Daniel Paul Sparks
• Speak Your Mind LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.