Advanced Ophthalmology of Connecticut LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35457 Issued in CT

Legal business name

ADVANCED OPHTHALMOLOGY OF CONNECTICUT LLC

Practice address

1455 East Putnam Avenue
Old Greenwich, CT 06870

Phone

(203) 348-7573

Fax

(203) 348-2893

NPI assigned

Mar 19, 2014

Last updated

Jan 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Joseph Fucigna, M.D.NPI 1841204997

Title

Medical Director

Phone

(203) 348-7575

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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.

• Robert J Fucigna, MD

  • Ophthalmology Physician
  • Stamford, CT
  • NPI 1841204997
  Medicare reassignment NPD Authorized official
• Peter A Silver, O.D.

  • Optometrist
  • Old Greenwich, CT
  • NPI 1659323210
  NPD

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1457778193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 EAST PUTNUM AVENUE",
            "city": "OLD GREENWICH",
            "state": "CT",
            "postal_code": "06870",
            "telephone_number": "203-348-7573",
            "fax_number": "203-348-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 EAST PUTNAM AVENUE",
            "city": "OLD GREENWICH",
            "state": "CT",
            "postal_code": "06870",
            "telephone_number": "203-348-7573",
            "fax_number": "203-348-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED OPHTHALMOLOGY OF CONNECTICUT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "FUCIGNA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "203-348-7575",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "35457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Aaron
• Abilis Inc
• Aimee Muth LCSW LLC
• Eva Allison
• Alona Altman
• Emily Pomerantz Altman, PSY.D.
• Michael Armentano

• Ophthalmology Physician in Old Greenwich, CT
• Providers in Old Greenwich, CT by specialty
• Ophthalmology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.