Active NPI
Peter Eugene Libre
- Ophthalmology Physician
- Norwalk, CT
National Provider Identifier
1376716449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- PETER EUGENE LIBRE
- Practice address
- 111 East Ave
Suite 335
Norwalk, CT 06851-5014 - Phone
- (203) 853-2020
- Fax
- (203) 852-9553
- NPI assigned
- Apr 9, 2008
- Organization subpart
- Yes
- Parent organization
- PETER E LIBRE MD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter E Libre, MD
- Title
- Owner
- Phone
- (203) 853-2020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
111 East Ave
Suite 335
Norwalk, CT 06851-5014
Mailing address
111 East Ave
Suite 335
Norwalk, CT 06851-5014
Phone (203) 853-2020
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001338244 | Medicaid | CT | |
| 01554461 | Other | NY | MEDICAID NY |
| 07J861 | Other | NY | MEDICARE NY |
Other names 1
- Connecticut Glaucoma Associates
National Provider Directory
National Provider DirectoryLocations
111 East Ave
Ste 335
Norwalk, CT 06851
Phone (203) 853-2020
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Norwalk, CT
- NPI 1013013671
-
- Optometrist
- Norwalk, CT
- NPI 1336625342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649116800000",
"number": "1376716449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 EAST AVE",
"address_2": "SUITE 335",
"city": "NORWALK",
"state": "CT",
"postal_code": "068515014",
"telephone_number": "203-853-2020",
"fax_number": "203-852-9553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 EAST AVE",
"address_2": "SUITE 335",
"city": "NORWALK",
"state": "CT",
"postal_code": "068515014",
"telephone_number": "203-853-2020",
"fax_number": "203-852-9553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETER EUGENE LIBRE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PETER E LIBRE MD",
"enumeration_date": "2008-04-09",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A",
"authorized_official_last_name": "LIBRE",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-853-2020",
"authorized_official_name_prefix": "Dr.",
"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": "001338244",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID NY",
"identifier": "01554461",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NY",
"identifier": "07J861",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Connecticut Glaucoma Associates",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Connecticut Glaucoma Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.