Southington Eye Associates, P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036594 Issued in CT

Legal business name

SOUTHINGTON EYE ASSOCIATES, P.C.

Practice address

318 North Main Street
Unit 2
Southington, CT 06489-0648

Phone

(860) 621-4412

NPI assigned

Jul 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. Farid Fouad Shafik, MDNPI 1598778896

Title

President

Phone

(860) 621-4412

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Farid F Shafik, MD

  • Ophthalmology Physician
  • Southington, CT
  • NPI 1598778896
  Medicare reassignment NPD Authorized official
• Maria D'Amore, LICENSED OPTICIAN

  • Optician
  • Southington, CT
  • NPI 1093693194
  NPD

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1932309382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 N MAIN ST STE 2D",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892555",
            "telephone_number": "860-621-4412",
            "fax_number": "860-609-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 NORTH MAIN STREET",
            "address_2": "UNIT 2",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064890648",
            "telephone_number": "860-621-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHINGTON EYE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "SHAFIK",
        "authorized_official_first_name": "FARID",
        "authorized_official_middle_name": "FOUAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-621-4412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "036594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004191350",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southington Board of Education
• Southington Care Center
• Southington Care Center
• Southington Chiropractic Center, P.C.
• Southington Dental Assoicates PC
• Southington Optometric Care, LLC
• Southington Oral & Maxillofacial Surgeons, PC
• Southington Pediatric Associates LLC
• Southington Urgent Care
• Michael Anthony Sposato, PA-C

• Ophthalmology Physician in Southington, CT
• Providers in Southington, 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 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.