Active NPI
Lakeville Eye Associates, LLC
- Ophthalmology Physician
- Lakeville, CT
National Provider Identifier
1952567026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 023349
- Legal business name
- LAKEVILLE EYE ASSOCIATES, LLC
- Practice address
- 31 Porter St
Lakeville, CT 06039-1214 - Phone
- (860) 435-0072
- Fax
- (860) 435-9831
- NPI assigned
- Jul 29, 2008
- 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. William Martin Kirber, M.D.
- Title
- Managing Member
- Phone
- 86043350072
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 023349 | CT | Primary |
Addresses
Primary practice location
31 Porter St
Lakeville, CT 06039-1214
Mailing address
31 Porter St
PO Box 548
Lakeville, CT 06039-1214
Phone (860) 435-0072
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D100000086 | Other | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Great Barrington, MA
- NPI 1649243809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236038400000",
"number": "1952567026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 PORTER ST",
"address_2": "PO BOX 548",
"city": "LAKEVILLE",
"state": "CT",
"postal_code": "060391214",
"telephone_number": "860-435-0072",
"fax_number": "860-435-9831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 PORTER ST",
"city": "LAKEVILLE",
"state": "CT",
"postal_code": "060391214",
"telephone_number": "860-435-0072",
"fax_number": "860-435-9831"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEVILLE EYE ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-29",
"last_updated": "2009-03-03",
"status": "A",
"authorized_official_last_name": "KIRBER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "MARTIN",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "86043350072",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CT",
"license": "023349",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "D100000086",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakeville, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.