Eye Center of Southern Connectucut, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EYE CENTER OF SOUTHERN CONNECTUCUT, PC

Practice address

2880 Old Dixwell Ave
Hamden, CT 06518

Phone

(203) 248-6365

Fax

(203) 281-2742

NPI assigned

Nov 27, 2006

Organization subpart

No

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

Authorized official

Name

Paul E Masi, MD

Title

President

Phone

(203) 248-6365

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eye Center A Medical Surgical Group Former legal business name

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1639245236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 HIGHLAND AVENUE",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "06410",
            "telephone_number": "203-272-5494",
            "fax_number": "203-272-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 OLD DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "06518",
            "telephone_number": "203-248-6365",
            "fax_number": "203-281-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CENTER OF SOUTHERN CONNECTUCUT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "MASI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-248-6365",
        "authorized_official_credential": "MD"
    },
    "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": "004067435",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Center A Medical Surgical Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Eye Care L.L.C.
• Eye Center of Southern Connecticut PC
• Eye Center of Southern Connecticut PC
• Eye Center of Southern Connecticut, PC
• Eye Center of Southern Connecticut, PC
• Wilma Joan Ezekowitz, PH.D
• Chinyere Ezigbo
• Eric Brenner Fabricant, MSW, LCSW
• Families Home Care,LLC
• Family & Esthetic Dentistry of Hamden LLC

• Ophthalmology Physician in Hamden, CT
• Providers in Hamden, 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, 2012; 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.