Organization Active NPI

Fairfield Ophthalmology, LLC

  • Ophthalmology Physician
  • Fairfield, CT
National Provider Identifier
1972832970
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
FAIRFIELD OPHTHALMOLOGY, LLC
Practice address
1300 Post Rd
Suite 208
Fairfield, CT 06824-6038
Phone
(203) 254-8050
Fax
(203) 254-8051
NPI assigned
Dec 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Authorized official

Name
Dr. Scott M Seo, M.D.NPI 1285770537
Title
Owner
Phone
(203) 254-8050

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1300 Post Rd
Suite 208
Fairfield, CT 06824-6038

Mailing address

1300 Post Rd
Suite 208
Fairfield, CT 06824-6038
Phone (203) 254-8050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100427000013 CT Part B Supplier - Clinic/Group Practice 4385770403 Receives reassigned benefits from 1 practitioner
Practice locations: Bridgeport, CT

National Provider Directory

National Provider Directory

Locations

3715 Main St
Ste 309
Bridgeport, CT 06606
Phone (203) 254-8050

Interoperability endpoints

  • Direct secure messaging: sseo@scottseomd.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 2

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": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1972832970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 POST RD",
            "address_2": "SUITE 208",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246038",
            "telephone_number": "203-254-8050",
            "fax_number": "203-254-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 POST RD",
            "address_2": "SUITE 208",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246038",
            "telephone_number": "203-254-8050",
            "fax_number": "203-254-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD OPHTHALMOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "SEO",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-254-8050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.