Eye Care Northeast, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EYE CARE NORTHEAST, PC

Practice address

5 Kennedy Dr
Putnam, CT 06260-1939

Phone

(860) 928-0414

Fax

(860) 928-2239

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James C. Dean, M.D.NPI 1083618532

Title

President

Phone

(860) 928-0414

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Christopher Dean, MD

  • Ophthalmology Physician
  • Putnam, CT
  • NPI 1083618532
  Medicare reassignment Care Compare group NPD Authorized official
• Kylie Donahue

  • Optometrist
  • Putnam, CT
  • NPI 1891545463
  Medicare reassignment Care Compare group NPD
• Robert Ricardo Reasoner, O.D.

  • Optometrist
  • Dayton, OH
  • NPI 1548619026

  CT

  Medicare reassignment Care Compare group NPD
• Jennifer L Capstick, O.D.

  • Optometrist
  • Willimantic, CT
  • NPI 1598195216
  Medicare reassignment NPD
• Meghan Corkery, O.D.

  • Vision Therapy Optometrist
  • West Hartford, CT
  • NPI 1053763557
  Medicare reassignment NPD
• Marie Mantelli, O.D.

  • Optometrist
  • Worcester, MA
  • NPI 1851845713

  CT

  Medicare reassignment NPD

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1487740411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 KENNEDY DR",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601939",
            "telephone_number": "860-928-0414",
            "fax_number": "860-928-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 KENNEDY DR",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601939",
            "telephone_number": "860-928-0414",
            "fax_number": "860-928-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE NORTHEAST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-928-0414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004394673",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Jean Elwell, LPC
• Emily Ferguson MD LLC
• Joelle Marie-Ange Encarnacion, PA-C
• Kelly L Espinosa
• Eye Care Northeast Surgical Partners LLC
• Hesham Ali Farag, DMD
• Travis Farrar
• Raja Fattaleh, MD
• Siobhan Feliciano
• Brooke Fell

• Ophthalmology Physician in Putnam, CT
• Providers in Putnam, CT by specialty
• Ophthalmology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.