NPIMap

Organization Active NPI

Oculofacial Associates of Connecticut LLC

  • Ophthalmology Physician
  • Trumbull, CT
National Provider Identifier
1992929384
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
022088 Issued in CT
Legal business name
OCULOFACIAL ASSOCIATES OF CONNECTICUT LLC
Practice address
2 Corporate Dr
Suite 112
Trumbull, CT 06611-1376
Phone
(203) 452-9723
Fax
(203) 452-9724
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark Ruchman, M.D.
Title
Owner
Phone
(203) 452-9723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 022088 CT Primary

Addresses

Primary practice location

2 Corporate Dr
Suite 112
Trumbull, CT 06611-1376

Mailing address

2 Corporate Dr
Suite 112
Trumbull, CT 06611-1376
Phone (203) 452-9723

National Provider Directory

National Provider Directory

Locations

1 Reservoir Office Park
Ste 203
Southbury, CT 06488
Phone (203) 264-4000

1449 Old Waterbury Rd
Ste 203
Southbury, CT 06488
Phone (203) 264-4000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992929384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CORPORATE DR",
            "address_2": "SUITE 112",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111376",
            "telephone_number": "203-452-9723",
            "fax_number": "203-452-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CORPORATE DR",
            "address_2": "SUITE 112",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111376",
            "telephone_number": "203-452-9723",
            "fax_number": "203-452-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCULOFACIAL ASSOCIATES OF CONNECTICUT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUCHMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-452-9723",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "022088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.