George Shafranov MD LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

037866 Issued in CT

Legal business name

GEORGE SHAFRANOV MD LLC

Practice address

705 Boston Post Rd
C-3
Guilford, CT 06437-2732

Phone

(203) 458-1221

Fax

(203) 458-1960

NPI assigned

Sep 13, 2007

Last updated

Sep 13, 2007By 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. George Shafranov

Title

Owner

Phone

(203) 458-1221

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1912192782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 BOSTON POST RD",
            "address_2": "C-3",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372732",
            "telephone_number": "203-458-1221",
            "fax_number": "203-458-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BOSTON POST RD",
            "address_2": "C-3",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372732",
            "telephone_number": "203-458-1221",
            "fax_number": "203-458-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE SHAFRANOV MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "SHAFRANOV",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-458-1221",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "037866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.