Active NPI
Windham Eye Group P.C.
- Ophthalmology Physician
- Willimantic, CT
National Provider Identifier
1801818802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- WINDHAM EYE GROUP P.C.
- Practice address
- 83 Quarry St
Willimantic, CT 06226-1238 - Phone
- (860) 423-1619
- Fax
- (860) 423-7640
- NPI assigned
- Jul 25, 2006
- 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
- Dr. Dana P Woods, M.D.
- Title
- President
- Phone
- (860) 423-1619
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
83 Quarry St
Willimantic, CT 06226-1238
Mailing address
83 Quarry St
Willimantic, CT 06226-1238
Phone (860) 423-1619
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010040216CT01 | Other | CT | BC/BS WOODS |
| 027147 | Other | CT | CONNECTICARE - PCR |
| 24928 | Other | CT | AETNA PCR HMO & QPOS |
| 709097 | Other | CT | CONNECTICARE -WOODS |
| 2747719 | Other | CT | AETNA WOODS HMO & QPO |
| 001271477 | Other | CT | EDS CATON REARDON |
| 004129674 | Other | CT | EDS GROUP- WEG |
| C14795 | Other | CT | MEDICARE RR |
| 001402164 | Other | CT | EDS WOODS |
| 010027147CT01 | Other | CT | CATON REARDON |
| 090002619CT01 | Other | CT | BC/BS CLARK |
National Provider Directory
National Provider DirectoryLocations
83 Quarry St
Willimantic, CT 06226
Phone (860) 423-1619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332979200000",
"number": "1801818802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 QUARRY ST",
"city": "WILLIMANTIC",
"state": "CT",
"postal_code": "062261238",
"telephone_number": "860-423-1619",
"fax_number": "860-423-7640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 QUARRY ST",
"city": "WILLIMANTIC",
"state": "CT",
"postal_code": "062261238",
"telephone_number": "860-423-1619",
"fax_number": "860-423-7640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINDHAM EYE GROUP P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2012-03-29",
"status": "A",
"authorized_official_last_name": "WOODS",
"authorized_official_first_name": "DANA",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "860-423-1619",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS WOODS",
"identifier": "010040216CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE - PCR",
"identifier": "027147",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PCR HMO & QPOS",
"identifier": "24928",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE -WOODS",
"identifier": "709097",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA WOODS HMO & QPO",
"identifier": "2747719",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDS CATON REARDON",
"identifier": "001271477",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDS GROUP- WEG",
"identifier": "004129674",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "C14795",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDS WOODS",
"identifier": "001402164",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CATON REARDON",
"identifier": "010027147CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS CLARK",
"identifier": "090002619CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Willimantic, CT
- Windham Community Memorial Hospital
- Windham Community Memorial Hospital
- Windham Community Memorial Hospital, Inc.
- Windham Community Memorial Hospital, Inc.
- Windham Eye Group
- Windham Family Medical Services, PC
- Windham Gi, LLC
- Windham Health & Rehab LLC
- Windham Medical Group
- Windham Radiology Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.