MR. SCOTT MOOHUN SEO (NPI# 1285770537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285770537 |
| Entity Type | Individual |
| Full Name | MR. SCOTT MOOHUN SEO |
| Credential | M.D., PH.D. |
| Practice Address |
3715 Main St Suite 309 Bridgeport CT 06606-3618 |
| Practice Telephone | 2033724211 |
| Practice Fax Number | 2033724142 |
| Mailing Telephone | 2033724211 |
| Mailing Fax Number | 2033724142 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2016-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 045060 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001450600 | 05 |
| Street Address |
3715 MAIN ST SUITE 309 |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435309 | Anthony G Ciccaglione | Internal Medicine | 3715 Main St, Ste 408, Bridgeport, CT 06606-3611 | 2005-05-23 |
| 1821567744 | Muriel Maxwell Lcsw LLC | Counselor | 3715 Main St, Bridgeport, CT 06606-3618 | 2018-11-20 |
| 1881048080 | Bridgeport Braces, LLC | Dentist | 3715 Main St, Suite 100, Bridgeport, CT 06606-3618 | 2016-04-14 |
| 1750707808 | Oluwatosin Marriott | Counselor | 3715 Main St, Suite 406, Bridgeport, CT 06606-3618 | 2014-03-13 |
| 1760724678 | Robert D Markowitz | Dentist | 3715 Main St, Suite #303, Bridgeport, CT 06606-3618 | 2013-03-19 |
| 1033484043 | Merritt Dental LLC | Dentist | 3715 Main St, 409, Bridgeport, CT 06606-3618 | 2012-03-09 |
| 1174844922 | Houa Vang | Chiropractor | 3715 Main St, Suite 100, Bridgeport, CT 06606-3618 | 2010-06-16 |
| 1881910503 | Marianne Jensen | Behavioral Analyst | 3715 Main St, Suite 101, Bridgeport, CT 06606-3618 | 2010-04-20 |
| 1821223272 | Tremane M Bartley | Dentist | 3715 Main St, Suite 100, Bridgeport, CT 06606-3618 | 2009-05-28 |
| 1598941379 | Robert S. Smith | Durable Medical Equipment & Medical Supplies | 3715 Main St, #306, Bridgeport, CT 06606-3618 | 2008-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| 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 |
|---|---|---|---|---|
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1366721995 | Marcio Marc Abreu | Ophthalmology | 250 Myrtle Ave, Bridgeport, CT 06604-7762 | 2011-08-13 |
| 1801066410 | Regional Eye Associates, Inc. | Ophthalmology | 110 Cambridge Pl, Bridgeport, WV 26330-2812 | 2008-03-11 |
| 1811056252 | David Allen Faris | Ophthalmology | 1219 Johnson Ave, Suite 103, Bridgeport, WV 26330-1353 | 2006-12-08 |
| 1821103938 | Anitha J Patel | Ophthalmology | 3715 Main Street, Suite 309, Bridgeport, CT 06606 | 2006-08-20 |
| 1295735678 | Delia M Manjoney | Ophthalmology | 2720 Main St, Bridgeport, CT 06606-5308 | 2005-07-27 |
| 1487928933 | Reuven Rudich Md PC | Ophthalmology | 4699 Main St, Suite 202, Bridgeport, CT 06606-1830 | 2012-03-01 |
| 1235326885 | Manjoney and Manjoney LLC | Ophthalmology | 2720 Main St, Bridgeport, CT 06606-5308 | 2007-09-27 |
| 1902004427 | Retina Specialists Pllc | Ophthalmology | 527 Medical Park Dr Ste 205, Bridgeport, WV 26330-9009 | 2007-07-05 |
| 1760683288 | Flora Levin | Ophthalmology | 4699 Main St, Suite 106, Bridgeport, CT 06606-1830 | 2007-05-31 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
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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.