Surgical and Medical Ophthalmology, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

002567 Issued in CT

Legal business name

SURGICAL AND MEDICAL OPHTHALMOLOGY, LLC

Practice address

295 E Center St
Manchester, CT 06040-5211

Phone

(860) 646-4083

NPI assigned

Sep 17, 2007

Last updated

Sep 4, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Deborah Downes, M.D.NPI 1578575593

Title

Doctor

Phone

(860) 646-4093

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Surgical and Medical Ophthalmology LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Surgical and Medical Ophthamology LLC

  • Ophthalmology Physician
  • Manchester, CT
  • NPI 1407261498
  NPD tax ID

Practitioners 1

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.

• Deborah Ann Downes, M.D.

  • Ophthalmology Physician
  • Manchester, CT
  • NPI 1578575593
  NPD (past) Authorized official

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1770779456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 E CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405211",
            "telephone_number": "860-646-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 E CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405211",
            "telephone_number": "860-646-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL AND MEDICAL OPHTHALMOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "DOWNES",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "860-646-4093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004218279",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Teresa Sullivan, LCSW
• Kavetha Sundaramoorthy, M.D
• Sunshine Dental of Manchester
• Supportive Counseling Services
• Surgical & Medical Ophthalmology LLC
• Surgical and Medical Ophthamology LLC
• Surgical Associates of Eastern Connecticut LLC
• Surgical Specialties of Eastern CT LLC
• Jonathan Michael Sutkitis
• Colleen Bozena Svystun, APRN

• Optometrist in Manchester, CT
• Providers in Manchester, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.