DR. VICENTE ANTONIO DIAZ (NPI# 1114190154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114190154 |
| Entity Type | Individual |
| Full Name | DR. VICENTE ANTONIO DIAZ |
| Credential | MD |
| Practice Address |
495 Hawley Ln Stratford CT 06614-1514 |
| Practice Telephone | 2033755819 |
| Mailing Telephone | 2033755819 |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2019-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 251919 | NY | Allopathic & Osteopathic Physicians |
| Y | 207WX0108X |
Ophthalmology Specialization: Uveitis and Ocular Inflammatory Disease |
048651 | CT | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 310 E 14th St, Suite 319, New York, NY 100034201 | 2129794500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710270251 | Vicente M Diaz | Massage Therapist | 8494 Sw 8th St, Miami, FL 33144-4153 | 2011-05-17 |
| 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 |
| 1114438652 | Eye Surgery Associates LLC | Technician/Technologist | 495 Hawley Ln, Stratford, CT 06614-1514 | 2017-10-23 |
| 1184867723 | Michael A Sergi | Surgery | 495 Hawley Ln, Suite 2a, Stratford, CT 06614-1514 | 2009-04-13 |
| 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 | 207WX0108X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Uveitis and Ocular Inflammatory Disease |
| An ophthalmologist who specializes in the treatment of intraocular inflammation, scleritis, keratitis and infectious disorders affecting the eye and inflammatory disorders of the adnexa and/or orbit. |
| Notes: Source: American Academy of Ophthalmology, www.aao.org [1/1/2017: new] - Additional Resources: Association of University Professors of Ophthalmology, www.aupo.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487621819 | Eye Disease Consultants, LLC | Ophthalmology | 1043 Farmington Ave, West Hartford, CT 06107-2110 | 2006-03-03 |
Please comment or provide details below to improve the information on DR. VICENTE ANTONIO DIAZ.
| 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.