Active NPI
East Haven Eye Care, LLC
- Optometrist
- East Haven, CT
National Provider Identifier
1902164148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 001045
- Legal business name
- EAST HAVEN EYE CARE, LLC
- Practice address
- 135 Saltonstall Pkwy
East Haven, CT 06512-2426 - Phone
- (203) 265-7990
- Fax
- (203) 265-7998
- NPI assigned
- Apr 25, 2012
- 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. Marc Denigris, O.D.
- Title
- Optometrist, Owner
- Phone
- (203) 265-7990
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 001045 | CT | Primary |
Addresses
Primary practice location
135 Saltonstall Pkwy
East Haven, CT 06512-2426
Mailing address
135 Saltonstall Pkwy
East Haven, CT 06512-2426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
310 Terrace Ave
West Haven, CT 06516
Phone (203) 654-2100
60 Church St
#68
Yalesville, CT 06492
Phone (203) 265-2205
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- East Haven, CT
- NPI 1487879656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335312000000",
"number": "1902164148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 SALTONSTALL PKWY",
"city": "EAST HAVEN",
"state": "CT",
"postal_code": "065122426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 SALTONSTALL PKWY",
"city": "EAST HAVEN",
"state": "CT",
"postal_code": "065122426",
"telephone_number": "203-265-7990",
"fax_number": "203-265-7998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST HAVEN EYE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-25",
"last_updated": "2012-04-25",
"status": "A",
"authorized_official_last_name": "DENIGRIS",
"authorized_official_first_name": "MARC",
"authorized_official_title_or_position": "OPTOMETRIST, OWNER",
"authorized_official_telephone_number": "203-265-7990",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CT",
"license": "001045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.