NPI 1760675409 · live from the CMS NPI Registry
Connecticut Eye Physicians And Surgeons LLC
Ophthalmology in South Windsor, CT. National Provider Identifier 1760675409, active.
NPI record
| NPI | 1760675409 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 479 Buckland Rd, South Windsor, CT 06074 |
| Practice phone | 860-644-5011 |
| Mailing address | 479 Buckland Rd Ste A, South Windsor, CT 06074 |
| Enumerated | August 27, 2007 |
| Last updated | November 25, 2024 |
| Authorized official | Richard Manganiello, Owner;/Provider |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 035387 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.