Organization Active NPI

Eye Surgery Associates LLC

  • Ophthalmology Physician
  • Stratford, CT
National Provider Identifier
1740245703
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE SURGERY ASSOCIATES LLC
Practice address
495 Hawley LN
Stratford, CT 06614-1514
Phone
(203) 375-5819
Fax
(203) 377-4337
NPI assigned
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Authorized official

Name
Anthony Musto, MD
Title
Member Manager
Phone
(203) 375-5819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

495 Hawley LN
Stratford, CT 06614-1514

Mailing address

495 Hawley LN
Stratford, CT 06614-1514
Phone (203) 375-5819

National Provider Directory

National Provider Directory

Locations

3060 Main St
Stratford, CT 06614
Phone (203) 375-5819

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1740245703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 HAWLEY LN",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141514",
            "telephone_number": "203-375-5819",
            "fax_number": "203-377-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 HAWLEY LN",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141514",
            "telephone_number": "203-375-5819",
            "fax_number": "203-377-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGERY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "MUSTO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "203-375-5819",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.