Greater Hartford Ophthalmology LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

044859 Issued in CT

Legal business name

GREATER HARTFORD OPHTHALMOLOGY LLC

Practice address

701 Cottage Grove Rd
B210
Bloomfield, CT 06002-3080

Phone

(860) 242-9090

Fax

(860) 242-9191

NPI assigned

Dec 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Prasad Panthagani, MDNPI 1609945427

Title

Member

Phone

(860) 242-9090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

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

• Prasad B Panthagani, MD

  • Ophthalmology Physician
  • Bloomfield, CT
  • NPI 1609945427
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1780868992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 COTTAGE GROVE RD",
            "address_2": "B210",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023080",
            "telephone_number": "860-242-9090",
            "fax_number": "860-242-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COTTAGE GROVE RD",
            "address_2": "B210",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023080",
            "telephone_number": "860-242-9090",
            "fax_number": "860-242-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER HARTFORD OPHTHALMOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "PANTHAGANI",
        "authorized_official_first_name": "PRASAD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-242-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "044859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Physio Clinic Inc
• Carol Gordon, PT
• Sasha Graham-Givans, APRN
• Tonya Gray
• Greater Hartford Nephrology, LLC
• Gregory Malcom Green Sr., LPC
• Robert Allen Green, MD
• Maggie Jean Greene, ED.M., LPC, NCC
• Lori L Greenwald, M.D.
• Marilyn Gross, PT

• Ophthalmology Physician in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Ophthalmology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.