Organization Active NPI

Lakeville Eye Associates, LLC

  • Ophthalmology Physician
  • Lakeville, CT
National Provider Identifier
1952567026
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
023349 Issued in CT
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

Updated by the provider on Mar 3, 2009

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
D100000086OtherMEDICARE PTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.