Edward S Lim, MD, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EDWARD S LIM, MD, LLC

Practice address

144 N Main St
Branford, CT 06405-3044

Phone

(203) 643-0270

Fax

(203) 488-1104

NPI assigned

Jun 11, 2009

Organization subpart

No

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

Authorized official

Name

Edward S Lim, MD

Title

Owner

Phone

(203) 643-0270

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1770710220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 N MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053044",
            "telephone_number": "203-643-0270",
            "fax_number": "203-488-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 N MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053044",
            "telephone_number": "203-643-0270",
            "fax_number": "203-488-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD S LIM, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-643-0270",
        "authorized_official_credential": "MD"
    },
    "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": "MEDICARE PTAN",
            "identifier": "D100000268",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC",
            "identifier": "180034796",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.