DR. PETER T KRENICKY (NPI# 1497795900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497795900 |
| Entity Type | Individual |
| Full Name | DR. PETER T KRENICKY |
| Credential | MD |
| Practice Address |
477 Connecticut Blvd Ste 205 East Hartford CT 06108 |
| Practice Telephone | 8605289645 |
| Practice Fax Number | 8605286366 |
| Mailing Telephone | 8605289645 |
| Mailing Fax Number | 8605286366 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2010-05-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 13523 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001135235 | 05 | |
| BCBS OF CT | 010013523CT | 01 | |
| CONNECTICARE | 013523 | 01 |
| Street Address |
477 CONNECTICUT BLVD STE 205 |
| City | EAST HARTFORD |
| State | CT |
| Zip Code | 06108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083601256 | Anil K Vithala | Internal Medicine | 477 Connecticut Blvd, Suite 112, East Hartford, CT 06108-3268 | 2005-10-04 |
| 1174166631 | Advance Dental Clinic PC | Dentist | 477 Connecticut Blvd, East Hartford, CT 06108-3268 | 2019-10-28 |
| 1841568201 | East Hartford Orthodontics | Dentist | 477 Connecticut Blvd, East Hartford, CT 06108-3268 | 2011-12-13 |
| 1003147596 | Richard P. Lasnier Dmd,pc | Dentist | 477 Connecticut Blvd, Suite 201, East Hartford, CT 06108-3268 | 2010-01-22 |
| 1770818049 | Connecticut Valley Chiropractic, LLC | Chiropractor | 477 Connecticut Blvd, Suite 102, East Hartford, CT 06108-3268 | 2009-10-05 |
| 1093825507 | Lisa Wagner | Physical Therapist | 477 Connecticut Blvd, Ste 200, East Hartford, CT 06108-3268 | 2006-08-30 |
| 1013930809 | Richard P Lasnier | Dentist | 477 Connecticut Blvd, Suite 201, East Hartford, CT 06108-3268 | 2006-07-25 |
| 1255354957 | Lewis Colin Ress | Dentist | 477 Connecticut Blvd, Suite 201, East Hartford, CT 06108-3268 | 2006-07-25 |
| 1275554693 | Tuyen Dang Nguyen | Dentist | 477 Connecticut Blvd, Suite 106, East Hartford, CT 06108-3268 | 2006-07-21 |
| 1366484610 | Sukhwant S Sethi Md,pc | Internal Medicine | 477 Connecticut Blvd, 304, East Hartford, CT 06108-3268 | 2006-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003437435 | Decent Homecare Services LLC | Homemaker | 527 Burnside Avenue, Suite 1, East Hartford, CT 06108 | 2020-04-27 |
| 1164055810 | First Choice Health Center Inc | Durable Medical Equipment & Medical Supplies | 110 Connecticut Blbd, East Hartford, CT 06108 | 2020-02-20 |
| 1457848731 | Heavenly Care LLC | Home Health | 35 Greene Terrace, East Hartford, CT 06108 | 2018-04-22 |
| 1750894275 | Thamara Vanessa Jonathas | Nurse Practitioner | 477 Connecticut Blvd Ste 119, East Hartford, CT 06108 | 2017-11-06 |
| 1851802474 | Empathic Care Counseling LLC | Counselor | 357 East Center Street, Manchester, CT 06108 | 2017-10-23 |
| 1235654427 | Kacey Megquier | Specialist/Technologist | 132 Arbutus Street, East Hartford, CT 06108 | 2017-08-08 |
| 1225559826 | First Choice Health Centers, Inc. | Clinic/Center | 809 Main Street, East Hartford, CT 06108 | 2017-07-05 |
| 1205361599 | Freda Osei-parker | Pharmacist | 16a Saint Regis Street, East Hartford, CT 06108 | 2017-04-25 |
| 1831648740 | Marcia Loving Care Home Care Agency | Home Health | 23 Bidwell Street, East Hartford, CT 06108 | 2016-10-04 |
| 1770932642 | First Choice Health Centers, Inc. | Clinic/Center | 92 Connecticut Boulevard, East Hartford, CT 06108 | 2016-06-10 |
| Find all providers in zip 06108 | ||||
| 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 |
|---|---|---|---|---|
| 1982914354 | Peter T. Krenicky Md PC | Ophthalmology | 477 Connecticut Blvd., Suite 205, East Hartford, CT 06108 | 2010-10-19 |
| 1083610323 | Jehangir Durrani | Ophthalmology | 99 Ash St, East Hartford, CT 06108-3226 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689181083 | Coastal Eye Surgeons LLC | Ophthalmology | 600 W Putnam Ave Lowr Level, Greenwich, CT 06830 | 2018-01-07 |
| 1841732088 | Peter Burch | Ophthalmology | 119 David Dr, Meriden, CT 06450-4605 | 2016-11-04 |
| 1851785240 | Romania Eye Center, LLC | Ophthalmology | 82 Plaza Court, Groton, CT 06340 | 2015-03-24 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1457778193 | Advanced Ophthalmology of Connecticut LLC | Ophthalmology | 1455 East Putnam Avenue, Old Greenwich, CT 06870 | 2014-03-19 |
| 1184047417 | Amanda Redfern | Ophthalmology | 40 Temple St Ste 3d, New Haven, CT 06510-2715 | 2014-01-22 |
| 1942646898 | William Robert Maron | Ophthalmology | 21 Woodland St Ste 222, Hartford, CT 06105-4318 | 2013-05-20 |
| 1578806758 | Amanda Dinsmore | Ophthalmology | 57 North St Ste 415, Danbury, CT 06810-5629 | 2013-04-05 |
| 1336481852 | Jane Roberta Lubin | Ophthalmology | 11 Edge Hill Ln, Westport, CT 06880-3119 | 2013-03-22 |
| 1518239169 | Hany S Wahba | Ophthalmology | 11 Chestnut Ct, Cromwell, CT 06416-1714 | 2012-01-29 |
| Find all providers with the same taxonomy | ||||
| City | EAST HARTFORD |
| Zip Code | 06108 |
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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.