NPIMap

Organization Active NPI

Middlesex Eye Physicians P.C.

  • Ophthalmology Physician
  • East Haven, CT
National Provider Identifier
1942010665
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
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
Organization subpart
Yes
Parent organization
MIDDLESEX EYE PHYSICIANS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Kristy G Mascarenhas, MDNPI 1588860282
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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250318001211 CT DME Supplier - Physician - OphthalmologyDME Supplier - Optician 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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2319887Middlesex Eye Physicians, PC610 Foxon Rd, East Haven, CT 06513Certificate of waiverMar 9, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Middlesex Eye Physicians, P.C.610 Foxon Rd, East Haven, CT 06513-1967(203) 468-8800 Ocular Prostheses|Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Aug 19, 2000

National Provider Directory

National Provider Directory
Tax ID family
Middlesex Eye Physicians PC2 organizations share this tax ID, including this one
Part of
Middlesex Eye Physicians PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

48 Main St
Ste 2
Old Saybrook, CT 06475
Phone (860) 347-7466

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.

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.

Verify at the official NPI Registry.