EYE SURGERY ASSOCIATES LLC (NPI# 1114438652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114438652 |
Entity Type | Organization |
Organization Name | EYE SURGERY ASSOCIATES LLC |
Other Organization Name | EYE SURGERY ASSOCIATES OPTICAL , LLC |
Practice Address |
495 Hawley Ln Stratford CT 06614-1514 |
Practice Telephone | 2033755819 |
Practice Fax Number | 2033774337 |
Mailing Telephone | 2033755819 |
Mailing Fax Number | 2033774337 |
Enumeration Date | 2017-10-23 |
Last Update Date | 2017-10-23 |
Authorized Official Name | SHIRLEY CORBO (ADMINISTRATOR) |
Authorized Official Telephone | 2033755819 |
Is Organization Subpart | Y |
Parent Organization Name | EYE SURGERY ASSOICIATES,LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FC0800X |
Technician/Technologist Specialization: Contact Lens |
Eye and Vision Services Providers |
Other Name | Type Code |
---|---|
eye surgery associates optical , llc | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396382719 | Eye Surgery Associates LLC | Optometrist | 300 S Park Rd Ste 300, Hollywood, FL 33021-8353 | 2019-12-04 |
1396942744 | Eye Surgery Associates LLC | Specialist | 603 N Flamingo Rd, Suite 250, Pembroke Pines, FL 33028-1023 | 2007-06-29 |
1861589343 | Eye Surgery Associates LLC | Specialist | 300 S Park Rd Ste 300, Hollywood, FL 33021-8353 | 2006-10-06 |
1740245703 | Eye Surgery Associates LLC | Ophthalmology | 495 Hawley Ln, Stratford, CT 06614-1514 | 2006-04-20 |
Street Address |
495 HAWLEY LN |
City | STRATFORD |
State | CT |
Zip Code | 06614-1514 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942294772 | Paul Gagne | Surgery | 495 Hawley Ln, Suite 2a, Stratford, CT 06614-1514 | 2005-09-08 |
1336615764 | Lee Robert Mckinney | Technician/Technologist | 495 Hawley Ln, Stratford, CT 06614-1514 | 2018-10-24 |
1184109332 | Eye Surgery Associates Optical, LLC | Clinic/Center | 495 Hawley Ln, Stratford, CT 06614-1514 | 2018-10-03 |
1962919605 | Katharina Ernst-sixto | Technician/Technologist | 495 Hawley Ln, Stratford, CT 06614-1514 | 2018-01-03 |
1184867723 | Michael A Sergi | Surgery | 495 Hawley Ln, Suite 2a, Stratford, CT 06614-1514 | 2009-04-13 |
1114190154 | Vicente Antonio Diaz | Ophthalmology | 495 Hawley Ln, Stratford, CT 06614-1514 | 2008-04-10 |
1033318175 | Southern Connecticut Vascular Center, LLC | Surgery | 495 Hawley Ln, Suite 2a, Stratford, CT 06614-1514 | 2007-07-17 |
1164579181 | Lee J Goldstein | Surgery | 495 Hawley Ln, Suite 2a, Stratford, CT 06614-1514 | 2007-01-04 |
1205846243 | Marsel Huribal | Surgery | 495 Hawley Ln, Suite 2a, Stratford, CT 06614-1514 | 2006-08-09 |
1740245703 | Eye Surgery Associates LLC | Ophthalmology | 495 Hawley Ln, Stratford, CT 06614-1514 | 2006-04-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
Find all providers in zip 06614 |
Taxonomy Code | 156FC0800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Contact Lens |
An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician. |
Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316323470 | Jon Paul Cartier | Technician/Technologist | 115 State St, Guilford, CT 06437-2725 | 2015-07-30 |
1487793246 | Walter S Mozden | Technician/Technologist | 7 Clinic Drive, Norwich, CT 06360-2915 | 2007-02-06 |
Please comment or provide details below to improve the information on EYE SURGERY ASSOCIATES LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.