Organization Active NPI

Peter Eugene Libre

  • Ophthalmology Physician
  • Norwalk, CT
National Provider Identifier
1376716449
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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 MDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Dr. Peter E Libre, MDNPI 1013013671
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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
001338244MedicaidCT
01554461OtherNYMEDICAID NY
07J861OtherNYMEDICARE NY

Other names 1

  • Connecticut Glaucoma Associates Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.