Organization Active NPI

Refocus Eye Health of Connecticut PC

  • Ophthalmology Physician
  • Bloomfield, CT
National Provider Identifier
1366914699
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
REFOCUS EYE HEALTH OF CONNECTICUT PC
Practice address
4 Northwestern Dr Ste 400
Bloomfield, CT 06002-3444
Phone
(860) 482-2992
NPI assigned
Dec 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Jeff Rinkov
Title
Authorized Offical/Ceo
Phone
(203) 574-2020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

4 Northwestern Dr Ste 400
Bloomfield, CT 06002-3444

Mailing address

600 Summer St Ste 600
Stamford, CT 06901-4404
Phone (203) 574-2020

Other practice location 1

1080 Day Hill Rd Ste 301
Windsor, CT 06095-5724
Phone (860) 386-8970

Other practice location 2

44 Dale Rd
Avon, CT 06001-4315
Phone (860) 432-6191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190409002244 CT Part B Supplier - Clinic/Group Practice 2466793096 Receives reassigned benefits from 4 practitioners
Practice locations: Avon, CT; Windsor, CT; Bloomfield, CT

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Refocus Eye Health of CT PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

57 North St
Ste 415
Danbury, CT 06810
Phone (203) 794-0117

600 Summer St
Ste 600
Stamford, CT 06901

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1366914699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SUMMER ST STE 600",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069014404",
            "telephone_number": "203-574-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NORTHWESTERN DR STE 400",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023444",
            "telephone_number": "860-482-2992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1080 Day Hill Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "CT",
            "postal_code": "060955724",
            "country_code": "US",
            "telephone_number": "860-386-8970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44 Dale Rd",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CT",
            "postal_code": "060014315",
            "country_code": "US",
            "telephone_number": "860-432-6191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REFOCUS EYE HEALTH OF CONNECTICUT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-27",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "RINKOV",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAL/CEO",
        "authorized_official_telephone_number": "203-574-2020"
    },
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.