Active NPI
Edward L Osborn, M.D.
- Ophthalmology Physician
- Torrington, CT
National Provider Identifier
1639156409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 022860
- Practice address
- 1151 E Main St
Torrington, CT 06790-3910 - Phone
- (860) 489-7671
- Fax
- (860) 482-0410
- NPI assigned
- Dec 22, 2005
- Last updated
- Dec 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 022860 | CT | Primary |
Addresses
Primary practice location
1151 E Main St
Torrington, CT 06790-3910
Mailing address
1151 E Main St
Torrington, CT 06790-3910
Phone (860) 489-7671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090108000353 | CT | Practitioner - Ophthalmology | 5294898821 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard a Fichman MD PC | Current | Accepting new patients | |
| Richard a. Fichman, MD PC | Ophthalmology | Current | Accepting new patients |
Locations
178 Hartford Rd
Manchester, CT 06040
Phone (860) 649-9973
1144 E Main St
Torrington, CT 06790
Phone (860) 489-7671
1151 E Main St
Torrington, CT 06790
Phone (860) 489-7671
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229904000000",
"number": "1639156409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 E MAIN ST",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "067903910",
"telephone_number": "860-489-7671",
"fax_number": "860-482-0410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 E MAIN ST",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "067903910",
"telephone_number": "860-489-7671",
"fax_number": "860-482-0410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORN",
"first_name": "EDWARD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2008-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CT",
"license": "022860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.