Eye Surgical Consultants

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

019681 Issued in CT

Legal business name

EYE SURGICAL CONSULTANTS

Practice address

1064 East Main Street
Meriden, CT 06450

Phone

(203) 237-1818

Fax

(203) 237-1819

NPI assigned

Jan 13, 2009

Organization subpart

No

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

Authorized official

Name

Denise Lavin

Title

Office Manager

Phone

(203) 366-8000

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Robert Todd Spector, MD

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1831259209
  NPD (past)

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1609013614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321088",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068256088",
            "telephone_number": "203-366-8000",
            "fax_number": "203-237-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 EAST MAIN STREET",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "06450",
            "telephone_number": "203-237-1818",
            "fax_number": "203-237-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGICAL CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "LAVIN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "203-366-8000"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "019681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001196815",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Itoro Joseph Etim
• Nicole K Evanko, APRN
• Eye Physicians of Central CT (Advanced Optical)
• Eye Physicians of Central CT PC (Advanced Optical)
• Eye Physicians of Central CT PC (Advanced Eye Physicians)
• Julie Falk, PHARMD
• Ben Famiglietti, PT, DPT
• Family First Transportation Services, LLC
• Family Services of Central Connecticut, Inc.
• Elizabeth Farkas, MSW

• Ophthalmology Physician in Meriden, CT
• Providers in Meriden, 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, 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.