CONNECTICUT EYECARE CENTER PC (NPI# 1578659827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578659827 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT EYECARE CENTER PC |
| Practice Address |
46 Prince Street Suite 202 New Haven CT 06519 |
| Practice Telephone | 2035622106 |
| Practice Fax Number | 2037875914 |
| Mailing Telephone | 2035622106 |
| Mailing Fax Number | 2037875914 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ALI A KHODADOUST (OWNER DIRECTOR) |
| Authorized Official Telephone | 2035622106 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 030415 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
46 PRINCE STREET SUITE 202 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487752770 | Anthony Andrew Lavorgna | Chiropractor | 46 Prince Street, Suite 201, New Haven, CT 06513 | 2006-09-20 |
| 1134246853 | Connecticut Retina Consultants LLC | Ophthalmology | 46 Prince Street, Suite 203, New Haven, CT 06519-1600 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184047417 | Amanda Redfern | Ophthalmology | 40 Temple St Ste 3d, New Haven, CT 06510-2715 | 2014-01-22 |
| 1427287382 | Shaheen P. Karim | Ophthalmology | 40 Temple St Fl 3, New Haven, CT 06510-2715 | 2009-07-13 |
| 1528292679 | Miguel Angel Materin | Ophthalmology | 40 Temple St Ste 1b, New Haven, CT 06510-2715 | 2009-05-05 |
| 1003034042 | Michael Ehrlich | Ophthalmology | 40 Temple Street, Yale Ophthalmology, New Haven, CT 06510 | 2007-04-23 |
| 1649341819 | Daniel Salchow | Ophthalmology | 40 Temple Street, Suite 1b, Yale Eye Center, New Haven, CT 06517-2715 | 2006-11-10 |
| 1194771790 | New Haven Ophthalmology Associates, PC | Ophthalmology | 455 Orange St, New Haven, CT 06511-6202 | 2006-05-25 |
| 1396790697 | Paul C Guida | Ophthalmology | 23 Beers St, New Haven, CT 06511-4401 | 2006-05-24 |
| 1811957640 | Robert A. Wiznia | Ophthalmology | 850 Howard Ave, New Haven, CT 06519-1106 | 2006-03-24 |
| 1376179531 | Matthew Swan Lawrence | Ophthalmology | 4 Science Park, New Haven, CT 06511-1962 | 2020-03-19 |
| 1962856047 | Marez Megalla | Ophthalmology | 20 York St, New Haven, CT 06510-3220 | 2016-04-14 |
| Find all providers in NEW HAVEN | ||||
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| 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.