NPIMap

Organization Active NPI

Northern Connecticut Eye Associates, LLC

  • Eyewear Supplier
  • Enfield, CT
National Provider Identifier
1487967832
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
041350 Issued in CT
Legal business name
NORTHERN CONNECTICUT EYE ASSOCIATES, LLC
Practice address
146 Hazard Ave Ste 201
Enfield, CT 06082-4566
Phone
(860) 763-4046
NPI assigned
Jul 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Dr. Andrew EpsteinNPI 1801877584
Title
Owner
Phone
(860) 763-4046

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 041350 CT Primary

Addresses

Primary practice location

146 Hazard Ave Ste 201
Enfield, CT 06082-4566

Mailing address

146 Hazard Ave Ste 201
Enfield, CT 06082-4566
Phone (860) 763-4046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930058433 CT DME Supplier - Physician - Ophthalmology 2365584471 Practice locations: Enfield, CT

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Northern CT Eye Assoc LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

146 Hazard Ave
Ste 201
Enfield, CT 06082
Phone (860) 763-4041

Practitioners & affiliated clinicians

Practitioners 5

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": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1487967832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 HAZARD AVE STE 201",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824566",
            "telephone_number": "860-763-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 HAZARD AVE STE 201",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824566",
            "telephone_number": "860-763-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CONNECTICUT EYE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "EPSTEIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-763-4046",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CT",
            "license": "041350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.