DR. MARIA I DIAZ (NPI# 1265408371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265408371 |
| Entity Type | Individual |
| Full Name | DR. MARIA I DIAZ |
| Credential | OD |
| Practice Address |
64 Thompson St Suite B104 East Haven CT 06513-5707 |
| Practice Telephone | 2034691012 |
| Practice Fax Number | 2034671369 |
| Mailing Telephone | 2034691012 |
| Mailing Fax Number | 2034671369 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2012-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2426 | CT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004173598 | 05 | |
| CT | ANTHEM BCBS | 090002426CT12 | 01 |
| CT | CONNECTICARE | 544893 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041131 | Maria I Diaz | Behavior Technician | 1070 E 18th St, Hialeah, FL 33013-4314 | 2020-07-27 |
| 1700434107 | Maria Diaz | Specialist | 170 Avenue C Apt 14b, New York, NY 10009-4240 | 2019-08-28 |
| 1164081824 | Maria Diaz | Behavior Technician | 16360 Sw 46th Ter, Miami, FL 33185-3861 | 2019-06-06 |
| 1386180792 | Maria Diaz | Technician, Other | 3721 Sw 59th Ter Apt 4, Davie, FL 33314-2643 | 2017-01-09 |
| 1356791693 | Maria Virginia Diaz | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Ste Jjl S-85, Houston, TX 77030-1501 | 2016-06-17 |
| 1710248604 | Maria V Diaz | Specialist | 43 Bronx River Rd Apt 2k, Yonkers, NY 10704-4430 | 2012-06-06 |
| 1295093755 | Maria V Diaz | Dentist | 14729 Ferrara Ct, Bonita Springs, FL 34135-8294 | 2012-05-02 |
| 1639443385 | Maria D Diaz | General Practice | Cond Monteflores # 2007, Calle Las Violetas 9 B, San Juan, PR 00915-3509 | 2012-02-28 |
| 1609145291 | Maria R Diaz | Behavioral Analyst | 399 San Antonio St., Anthony, NM 88021 | 2011-12-28 |
| 1326334848 | Maria Linda Diaz | Nurse Practitioner | 105 Hamilton Ave, Staten Island, NY 10301-1610 | 2011-06-22 |
| Street Address |
64 THOMPSON ST SUITE B104 |
| City | EAST HAVEN |
| State | CT |
| Zip Code | 06513-5707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368312 | Laura Kaul | Counselor | 64 Thompson St, East Haven, CT 06513-5707 | 2020-05-26 |
| 1538634605 | Ellen Riccardi | Counselor | 64 Thompson St, East Haven, CT 06513-5707 | 2018-10-04 |
| 1952894396 | Corrine Panagos | Registered Nurse | 64 Thompson St, East Haven, CT 06513-5707 | 2018-06-11 |
| 1891298253 | Carmen Betancourt | Social Worker | 64 Thompson St, East Haven, CT 06513-5707 | 2018-03-13 |
| 1134408610 | Tara Paine | Social Worker | 64 Thompson St, Ste A103, East Haven, CT 06513-5701 | 2011-08-15 |
| 1942459615 | Connecticut Vision Center, LLC | Optometrist | 64 Thompson St, Suite B104, East Haven, CT 06513-5707 | 2008-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366906141 | Edward Rivera | Case Manager/Care Coordinator | 458 Grand Ave., Suite 103, New Haven, CT 06513 | 2019-01-25 |
| 1134698442 | Village of Angels Home Health Care LLC | Respite Care | 470 James Street, Suite 007, New Haven, CT 06513 | 2018-11-15 |
| 1609358068 | Sarah Khalil | Pharmacist | 745 Foxon Road, East Haven, CT 06513 | 2018-09-02 |
| 1912358375 | Domanice Poindexter | Nurse Practitioner | Caremore Health, 444 Foxon Rd, East Haven, CT 06513 | 2016-06-28 |
| 1568839876 | My Fair Haven Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 72 Grand Ave, New Haven, CT 06513 | 2015-08-24 |
| 1871979567 | Sankofa Counseling LLC | Community/Behavioral Health | 64 Thompson St Ste A101, East Haven, CT 06513 | 2015-08-04 |
| 1578967287 | Curtis Stewart | Pharmacy Technician | 661 Thompson Street, East Haven, CT 06513 | 2014-10-09 |
| 1548686322 | Davis Group LLC | Social Worker | 30 Grand Ave, New Haven, CT 06513 | 2014-03-17 |
| 1124459615 | James Lucas IIi | Dietitian, Registered | 167 Old Foxon Road, Unit 30b, New Haven, CT 06513 | 2013-12-09 |
| 1609206135 | Spretha Kadavath | Dentist | 50 Grand Ave, New Haven, CT 06513 | 2013-11-19 |
| Find all providers in zip 06513 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487879656 | Marc Denigris X | Optometrist | 135 Saltonstall Pkwy, East Haven, CT 06512-2426 | 2007-04-14 |
| 1902164148 | East Haven Eye Care, LLC | Optometrist | 135 Saltonstall Pkwy, East Haven, CT 06512-2426 | 2012-04-25 |
| 1942459615 | Connecticut Vision Center, LLC | Optometrist | 64 Thompson St, Suite B104, East Haven, CT 06513-5707 | 2008-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638463 | Troy Sanfilippo | Optometrist | 286 Laurelwood Dr, Salem, CT 06420-3937 | 2020-10-27 |
| 1205434347 | Mvca | Optometrist | Navy Submarine Base New London, Bldg 484, Groton, CT 06349 | 2020-10-12 |
| 1588279590 | Eyes On Nigrelli, LLC | Optometrist | 18 Pennsylvania Ave, Niantic, CT 06357-3231 | 2020-09-15 |
| 1558973289 | Solinsky Eyecare LLC | Optometrist | 55 Nye Rd Ste 104, Glastonbury, CT 06033-1281 | 2020-08-24 |
| 1528670783 | Irene Elaine Antar | Optometrist | 152 Merrow Rd #23c, Tolland, CT 06084 | 2020-08-19 |
| 1750991345 | Connecticut Children's Eye Care, P.C. | Optometrist | 599 Farmington Ave Ste 201, Farmington, CT 06032-2356 | 2020-08-07 |
| 1013525302 | Eyeconic Vision Care LLC | Optometrist | 500 Andrews Way Apt 102, South Windsor, CT 06074-9601 | 2020-07-22 |
| 1295351104 | Victor Paul | Optometrist | 1920 Norwich New London Tpke, Uncasville, CT 06382-1384 | 2020-06-17 |
| 1700410727 | Optimized Vision & Eye Care LLC | Optometrist | 20 Division St, Derby, CT 06418-1430 | 2020-02-28 |
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| Find all providers with the same taxonomy | ||||
| City | EAST HAVEN |
| Zip Code | 06513 |
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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.