Active NPI
Middlesex Eye Physicians P.C.
- Ophthalmology Physician
- East Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- MIDDLESEX EYE PHYSICIANS P.C.
- Doing business as
- Middlesex Eye Physicians, P.C.
- Practice address
- 610 Foxon Rd
East Haven, CT 06513-1967 - Phone
- (203) 468-8800
- Fax
- (203) 458-9456
- NPI assigned
- Jan 14, 2025
- Last updated
- Jan 14, 2025
- Organization subpart
- Yes
- Parent organization
- MIDDLESEX EYE PHYSICIANS, P.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristy G Mascarenhas, MD
- Title
- Ophthalmologist
- Phone
- (860) 347-7466
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
610 Foxon Rd
East Haven, CT 06513-1967
Mailing address
400 Saybrook Rd Ste 100
Middletown, CT 06457-4774
Phone (860) 347-7466
Other names 1
- Middlesex Eye Physicians, P.C.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250318001211 | CT | DME Supplier - Physician - Ophthalmology | 5890757108 | Practice locations: East Haven, CT |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D2319887 | Middlesex Eye Physicians, PC | Certificate of waiver | Mar 9, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Middlesex Eye Physicians, P.C. | Ocular Prostheses|Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Middlesex Eye Physician
- Part of
- Middlesex Eye Physician
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Middletown, CT
- NPI 1295716413
Locations
240 Middletown Ave
East Hampton, CT 06424
Phone (860) 346-2020
515 Boston St
Guilford, CT 06437
Phone (203) 453-3100
400 Saybrook Rd
Ste 100
Middletown, CT 06457
Phone (860) 347-7466
541 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 563-8207
4 Grove Beach Rd N
Ste B
Westbrook, CT 06498
Phone (860) 669-5305
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Middletown, CT
- NPI 1588860282
-
- Optometrist
- Middletown, CT
- NPI 1942641626
-
- Optometrist
- Bridgeport, CT
- NPI 1114956992
-
- Ophthalmology Physician
- Middletown, CT
- NPI 1346506094
-
- Ophthalmology Physician
- Guilford, CT
- NPI 1649387770
-
- Optometrist
- Newington, CT
- NPI 1518540905
-
- Ophthalmology Physician
- Middletown, CT
- NPI 1659382034
-
- Ophthalmology Physician
- Manchester, CT
- NPI 1770994063
-
- Ophthalmology Physician
- Middletown, CT
- NPI 1457313371
-
- Optometrist
- Middletown, CT
- NPI 1053663112
-
- Ophthalmology Physician
- Old Saybrook, CT
- NPI 1881601581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736812800000",
"number": "1942010665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 SAYBROOK RD STE 100",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574774",
"telephone_number": "860-347-7466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 FOXON RD",
"city": "EAST HAVEN",
"state": "CT",
"postal_code": "065131967",
"telephone_number": "203-468-8800",
"fax_number": "203-458-9456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDDLESEX EYE PHYSICIANS P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MIDDLESEX EYE PHYSICIANS, P.C.",
"enumeration_date": "2025-01-14",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A",
"authorized_official_last_name": "MASCARENHAS",
"authorized_official_first_name": "KRISTY",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OPHTHALMOLOGIST",
"authorized_official_telephone_number": "860-347-7466",
"authorized_official_credential": "MD"
},
"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": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Middlesex Eye Physicians, P.C.",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 14, 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.