Organization Active NPI

Connecticut Center for Sight LLC

  • Ophthalmology Physician
  • South Windsor, CT
National Provider Identifier
1699715771
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
041170 Issued in CT
Legal business name
CONNECTICUT CENTER FOR SIGHT LLC
Practice address
2800 Tamarack Ave
Suite 102
South Windsor, CT 06074-5539
Phone
(860) 648-0638
Fax
(860) 648-0870
NPI assigned
Jun 7, 2006
Last updated
Jul 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Ilona Slusker Shternfeld, M.D.NPI 1528066693
Title
Physician/Owner
Phone
(860) 648-0638

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
Ophthalmology Physician 207W00000X 041170 CT Primary

Addresses

Primary practice location

2800 Tamarack Ave
Suite 102
South Windsor, CT 06074-5539

Mailing address

2800 Tamarack Ave
Suite 102
South Windsor, CT 06074-5539
Phone (860) 648-0638

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120723000603 CT Part B Supplier - Clinic/Group Practice 2264698026 Receives reassigned benefits from 1 practitioner
Practice locations: South Windsor, CT

National Provider Directory

National Provider Directory

Locations

2800 Tamarack Ave
Ste 102
South Windsor, CT 06074
Phone (860) 648-0860

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1699715771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 TAMARACK AVE",
            "address_2": "SUITE 102",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060745539",
            "telephone_number": "860-648-0638",
            "fax_number": "860-648-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 TAMARACK AVE",
            "address_2": "SUITE 102",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060745539",
            "telephone_number": "860-648-0638",
            "fax_number": "860-648-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT CENTER FOR SIGHT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "SHTERNFELD",
        "authorized_official_first_name": "ILONA",
        "authorized_official_middle_name": "SLUSKER",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "860-648-0638",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "041170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.