NPIMap

Organization Active NPI

Eye MD of Plainfield LLC

  • Ophthalmology Physician
  • Plainfield, CT
National Provider Identifier
1457505653
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
026332 Issued in CT
Legal business name
EYE MD OF PLAINFIELD LLC
Practice address
50 Academy Hill Rd
Plainfield, CT 06374-1600
Phone
(860) 564-4555
Fax
(860) 564-4611
NPI assigned
Nov 14, 2008
Last updated
Sep 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Authorized official

Name
Ramsey Tarabishy, MDNPI 1689781403
Title
Owner, LLC Member
Phone
(860) 564-4555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 026332 CT Primary

Addresses

Primary practice location

50 Academy Hill Rd
Plainfield, CT 06374-1600

Mailing address

50 Academy Hill Rd
Plainfield, CT 06374-1600
Phone (860) 564-4555

Other identifiers 3

IdentifierTypeStateIssuer
010026332CT02OtherCTANTHEM BCBS
01263326MedicaidCT
OV5491OtherCTHEALTHNET

National Provider Directory

National Provider Directory

Locations

50 Academy Hill Rd
Plainfield, CT 06374
Phone (860) 230-0771

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1457505653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ACADEMY HILL RD",
            "city": "PLAINFIELD",
            "state": "CT",
            "postal_code": "063741600",
            "telephone_number": "860-564-4555",
            "fax_number": "860-564-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ACADEMY HILL RD",
            "city": "PLAINFIELD",
            "state": "CT",
            "postal_code": "063741600",
            "telephone_number": "860-564-4555",
            "fax_number": "860-564-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE MD OF PLAINFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "TARABISHY",
        "authorized_official_first_name": "RAMSEY",
        "authorized_official_title_or_position": "OWNER, LLC MEMBER",
        "authorized_official_telephone_number": "860-564-4555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "026332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "010026332CT02",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01263326",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "OV5491",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.