Ophthalmic Surgeons of GR BPT PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

OPHTHALMIC SURGEONS OF GR BPT PC

Doing business as

Optical Illusions

Practice address

2371 Black Rock Tpke
Fairfield, CT 06825-3229

Phone

(203) 371-0141

Fax

(203) 371-6585

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen M Sobieraj

Title

Administrator

Phone

(203) 371-0141

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Optical Illusions Doing business as

Medicare fee-for-service enrollment

Enrolled in CT2 enrollments

Enrollment records 2

Locations

Practitioners 6

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

• Ian Gorovoy, M.D.

  • Ophthalmology Physician
  • Fairfield, CT
  • NPI 1750606349
  Medicare reassignment Care Compare group NPD
• Laura Ridgely Hatch, MD

  • Ophthalmology Physician
  • Trumbull, CT
  • NPI 1689995409
  Medicare reassignment Care Compare group NPD
• Delia M Manjoney, MD

  • Ophthalmology Physician
  • Bridgeport, CT
  • NPI 1295735678
  Medicare reassignment Care Compare group NPD
• Elisse Park, MD

  • Ophthalmology Physician
  • Fairfield, CT
  • NPI 1366947061
  Medicare reassignment Care Compare group NPD
• Joanna Lumba Sarracino, MD

  • Ophthalmology Physician
  • Fairfield, CT
  • NPI 1841223484
  Medicare reassignment Care Compare group NPD
• Marc Lawrence Weitzman, MD

  • Ophthalmology Physician
  • Fairfield, CT
  • NPI 1558465807
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1619026671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2371 BLACK ROCK TPKE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253229",
            "telephone_number": "203-371-0141",
            "fax_number": "203-371-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2371 BLACK ROCK TPKE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253229",
            "telephone_number": "203-371-0141",
            "fax_number": "203-371-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMIC SURGEONS OF GR BPT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "SOBIERAJ",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "203-371-0141",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "004001665",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optical Illusions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meghann Olive, MS CCC-SLP
• Dan Charles Omohundro Sr., MD
• Katie Oneill
• Michelle Paige Onofrio, LPCA
• Ophthalmic Consultants of Connecticut PC
• Opticare Eye Health Centers, Inc.
• Optimal Healing Center of Connecticut
• Kelly E Orsino, OTR/L
• Adrian Ortega, PA-C
• Ortho New England, LLC

• Ophthalmology Physician in Fairfield, CT
• Providers in Fairfield, 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 31, 2008; 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.