Ophthalmic Associates, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

OPHTHALMIC ASSOCIATES, PC

Practice address

160 Hawley LN
Ste 107
Trumbull, CT 06611-5300

Phone

(203) 378-3224

Fax

(203) 378-2968

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Edward A. Pulice, M.D.

Title

President

Phone

(203) 378-3224

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499299200000",
    "number": "1871655951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 HAWLEY LN",
            "address_2": "STE 107",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115300",
            "telephone_number": "203-378-3224",
            "fax_number": "203-378-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 HAWLEY LN",
            "address_2": "STE 107",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115300",
            "telephone_number": "203-378-3224",
            "fax_number": "203-378-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMIC ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2017-07-06",
        "status": "A",
        "authorized_official_last_name": "PULICE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-378-3224",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004001707",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Trumbull, CT
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; 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.