DR. MARVIN B GOTTLIEB (NPI# 1437154689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437154689 |
| Entity Type | Individual |
| Full Name | DR. MARVIN B GOTTLIEB |
| Credential | M.D. |
| Practice Address |
12 Curtis St Meriden CT 06450-5900 |
| Practice Telephone | 2032357946 |
| Practice Fax Number | 2032381684 |
| Mailing Telephone | 2032357946 |
| Mailing Fax Number | 2032381684 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 15536 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CONNECTICARE | 015536 | 01 |
| CT | DURABLE MEDICAL EQUIPMENT | 0378140001 | 01 |
| CT | CIGNA | 01015536 | 01 |
| CT | OXFORD | P369511 | 01 |
| CT | ANTHEM BCBS OF CT | 010015536CT01 | 01 |
| Street Address |
12 CURTIS ST |
| City | MERIDEN |
| State | CT |
| Zip Code | 06450-5900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063870186 | Stephen Falconieri | Counselor | 12 Curtis St, Meriden, CT 06450-5900 | 2016-02-03 |
| 1811361702 | Safiya Lorriana Ruddock | Social Worker | 12 Curtis St, Meriden, CT 06450-5900 | 2015-11-16 |
| 1255680203 | All Ears Hearing Aid Service, Inc. | Hearing Instrument Specialist | 12 Curtis St, Meriden, CT 06450-5900 | 2012-09-06 |
| 1154610632 | Virginia Gaudio Duclos | Hearing Instrument Specialist | 12 Curtis St, Meriden, CT 06450-5900 | 2011-04-05 |
| 1508061797 | Jeffrey C. Krahling | Dentist | 12 Curtis St, Suite 14, Meriden, CT 06450-5900 | 2007-06-18 |
| 1487772554 | Acuity Eye Physicians and Surgeons, P.C. | Ophthalmology | 12 Curtis St, Meriden, CT 06450-5900 | 2007-03-27 |
| 1902919319 | Robert L. Block | Ophthalmology | 12 Curtis St, Meriden, CT 06450-5900 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861056525 | Oak Counseling Services LLC | Counselor | Oak Counseling Services, LLC, 97 East Main St. (suite 1h), Meriden, CT 06450 | 2019-04-29 |
| 1467969253 | Midstate Arc | Day Training, Developmentally Disabled Services | 200 Research Pkwy, Meriden, CT 06450 | 2018-01-03 |
| 1144674672 | Felistas Mazhandu | Nurse Practitioner | 53 Church Hill Chase, Meriden, CT 06450 | 2016-04-21 |
| 1639557390 | D J Park PC | Dentist | 490-19 South Broad Street, Meriden, CT 06450 | 2015-05-14 |
| 1912393844 | Elliott Lacki | Psychologist | 1355 N Broad St, Meriden, CT 06450 | 2015-04-07 |
| 1124379797 | Jamie Anne Gargano | Social Worker | 538 Preston Avenue, Meriden, CT 06450 | 2012-09-24 |
| 1760738025 | Psychologist Adriana L Gonzalez Phd Pllc | Clinic/Center | 85 Hillcrest Terrace, Meriden, CT 06450 | 2012-07-24 |
| 1174888622 | Dong Jin Park | Dentist | 490 S Broad St, Meriden, CT 06450 | 2012-07-11 |
| 1710253182 | Adriana Laura Gonzalez | Psychologist | 85 Hillcrest Ter, Meriden, CT 06450 | 2012-03-29 |
| 1285864199 | Crystal Ann Herdman | Occupational Therapist | 33 Cone Avenue, Meriden, CT 06450 | 2009-07-27 |
| Find all providers in zip 06450 | ||||
| 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 |
|---|---|---|---|---|
| 1841732088 | Peter Burch | Ophthalmology | 119 David Dr, Meriden, CT 06450-4605 | 2016-11-04 |
| 1538264973 | Eye Physicians of Central Ct PC | Ophthalmology | 546 So Broad St, Meriden, CT 06450 | 2006-09-13 |
| 1114927332 | Jay E Hellreich | Ophthalmology | 546 S Broad St, Meriden, CT 06450-6600 | 2005-07-29 |
| 1629480728 | Laura Bressler Hall | Ophthalmology | 546 S Broad St, Meriden, CT 06450-6600 | 2014-05-22 |
| 1609013614 | Eye Surgical Consultants | Ophthalmology | 1064 East Main Street, Meriden, CT 06450 | 2009-01-13 |
| 1427170596 | Timothea A Ryan | Ophthalmology | 546 S Broad St, Suite 1d, Meriden, CT 06450 | 2007-04-06 |
| 1487772554 | Acuity Eye Physicians and Surgeons, P.C. | Ophthalmology | 12 Curtis St, Meriden, CT 06450-5900 | 2007-03-27 |
| 1902919319 | Robert L. Block | Ophthalmology | 12 Curtis St, Meriden, CT 06450-5900 | 2006-08-17 |
| 1679573729 | Kevin D Mcmahon | Ophthalmology | 546 S Broad St, Meriden, CT 06450-6600 | 2005-07-29 |
| 1588664635 | William C Hall | Ophthalmology | 546 S Broad St, Meriden, CT 06450-6600 | 2005-07-29 |
| Find all providers in MERIDEN | ||||
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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.