CONNECTICUT EYE SURGERY CENTER SOUTH LLC (NPI# 1689693970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689693970 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT EYE SURGERY CENTER SOUTH LLC |
| Practice Address |
60 Wellington Rd Milford CT 06461-1677 |
| Practice Telephone | 2038782010 |
| Practice Fax Number | 2038772119 |
| Mailing Telephone | 8606650174 |
| Mailing Fax Number | 8606672066 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2015-06-08 |
| Authorized Official Name | MR. PHILLIP A. CLENDENIN (PRESIDENT) |
| Authorized Official Telephone | 6156651283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004242773 | 05 |
| Street Address |
60 WELLINGTON RD |
| City | MILFORD |
| State | CT |
| Zip Code | 06461-1677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396192670 | Connecticut Eye Anesthesia LLC | Nurse Anesthetist, Certified Registered | 60 Wellington Rd, Milford, CT 06461-1677 | 2016-05-17 |
| 1518048420 | Ct Eye Surgery Center - South | Anesthesiology | 60 Wellington Rd, Milford, CT 06461-1677 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477017648 | Connecticut Orthopaedic Surgery Center, LLC | Clinic/Center | 205 Sub Way Drive, Milford, CT 06461 | 2019-01-22 |
| 1922592732 | Sherry Lucke | Nurse Practitioner | 26 Milford Hunt Ln, Milford, CT 06461 | 2018-06-15 |
| 1609302876 | Michael Romano | Marriage & Family Therapist | 57 Plains Rd Ste 3c, Milford, CT 06461 | 2017-05-10 |
| 1306220868 | Marie Charlene Louisgene | Dental Assistant | 25 Arlmont Street, Milford, CT 06461 | 2015-07-15 |
| 1275920753 | Alicea Corey | Marriage & Family Therapist | 580 Naugatuck Ave, Milford, CT 06461 | 2015-04-22 |
| 1891882478 | David M Brothers | Ophthalmology | 255 W River St, Milford, CT 06461 | 2006-10-06 |
| 1386884294 | Gail Grace Seamonds | Nurse Anesthetist, Certified Registered | 39 Lavery Ln, Milford, CT 06461-1625 | 2009-03-05 |
| 1588085591 | Linda C. Grenus | Occupational Therapist | 48 Wellington Rd, Milford, CT 06461-1641 | 2013-12-17 |
| 1669085692 | Jaclyn Bria | Occupational Therapist | 48 Wellington Rd, Milford, CT 06461-1641 | 2020-08-28 |
| 1477165314 | Brian Ing | Physical Therapist | 48 Wellington Rd, Milford, CT 06461-1641 | 2020-08-21 |
| Find all providers in zip 06461 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386809978 | The Cataract Surgery Center of Milford, Inc. | Clinic/Center | 145 West St, Milford, MA 01757-2226 | 2008-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700338738 | The Lasik Vision Institute LLC | Clinic/Center | 2313 Whitney Avenue, Suite 1b, Hamden, CT 06518 | 2016-10-25 |
| 1225174436 | Columbus Eye Associates | Clinic/Center | 1206 Silas Deane Hwy, Ste 2, Wethersfield, CT 06109-4328 | 2007-01-29 |
| 1184109332 | Eye Surgery Associates Optical, LLC | Clinic/Center | 495 Hawley Ln, Stratford, CT 06614-1514 | 2018-10-03 |
| 1043758022 | The Lasik Vision Institute LLC | Clinic/Center | 40 Richards Ave, 6th Floor, Norwalk, CT 06854-2319 | 2017-02-09 |
| 1225583420 | The Cataract Vision Institute LLC | Clinic/Center | 270 Farmington Ave, Suite 172, Farmington, CT 06032-1909 | 2016-08-18 |
| 1922442011 | The Lasik Vision Institute, LLC | Clinic/Center | 270 Farmington Ave, Suite 172, Farmington, CT 06032-1909 | 2013-04-19 |
| 1780835991 | Greenwich Ambulatory Surgery Center LLC | Clinic/Center | 55 Holly Hill Ln, Greenwich, CT 06830-6074 | 2008-10-07 |
| 1497940688 | Alan R. Ecker and Patricia A Ecker | Clinic/Center | 11 Woodland Rd, Madison, CT 06443-2342 | 2007-09-11 |
| 1710904537 | Constitution Eye Surgery Center LLC | Clinic/Center | 505 Willard Ave, Building 3, Newington, CT 06111-2650 | 2006-07-16 |
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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.