Organization Active NPI

Edward L. Osborn, MD

  • Ophthalmology Physician
  • Torrington, CT
National Provider Identifier
1437338142
Registry record updated Dec 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A022860 Issued in CT
Legal business name
EDWARD L. OSBORN, MD
Practice address
1151 E Main St
Torrington, CT 06790-3910
Phone
(860) 489-7671
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2008

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

Authorized official

Name
Ruth Harrison
Title
Office Manager
Phone
(860) 489-7671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X A022860 CT Primary

Addresses

Primary practice location

1151 E Main St
Torrington, CT 06790-3910

Mailing address

1151 E Main St
Torrington, CT 06790-3910
Phone (860) 489-7671

Other identifiers 1

IdentifierTypeStateIssuer
001228600MedicaidCT

National Provider Directory

National Provider Directory

Locations

1144 E Main St
Torrington, CT 06790
Phone (860) 489-7671

1151 E Main St
Torrington, CT 06790
Phone (860) 489-7671

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229904000000",
    "number": "1437338142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 E MAIN ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903910",
            "telephone_number": "860-489-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 E MAIN ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903910",
            "telephone_number": "860-489-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD L. OSBORN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2008-12-22",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "860-489-7671"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "A022860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001228600",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; 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.