Active NPI
Greenwich Ophthalmology Assoc
- Ophthalmology Physician
- Greenwich, CT
National Provider Identifier
1700879004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- GREENWICH OPHTHALMOLOGY ASSOC
- Practice address
- 4 Dearfield Dr
Greenwich, CT 06831-5351 - Phone
- (203) 869-3082
- Fax
- (203) 869-6453
- NPI assigned
- Aug 23, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christine Birdsall
- Title
- Practice Administrator
- Phone
- (203) 869-3082
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
4 Dearfield Dr
Greenwich, CT 06831-5351
Mailing address
2046 W Main St Ste 2
Stamford, CT 06902-4523
Phone (203) 869-3082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH8430 | Other | RR MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522281600000",
"number": "1700879004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2046 W MAIN ST STE 2",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069024523",
"telephone_number": "203-869-3082",
"fax_number": "203-869-6453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 DEARFIELD DR",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068315351",
"telephone_number": "203-869-3082",
"fax_number": "203-869-6453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENWICH OPHTHALMOLOGY ASSOC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-23",
"last_updated": "2018-03-29",
"status": "A",
"authorized_official_last_name": "BIRDSALL",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "203-869-3082"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CH8430",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenwich, CT
- Greenwich Medical Group
- Greenwich Neonatology Associates, LLC
- Greenwich Neurology
- Greenwich Neurosurgery, P.C.
- Greenwich Occupational Health Services, P.C.
- Greenwich Oral and Maxillofacial Surgery Associates, P.C.
- Greenwich Otolaryngology, PC
- Greenwich Pain and Spine
- Greenwich Pathology Associates, LLC
- Greenwich Pediatric Services PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.