IAN GOROVOY (NPI# 1750606349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750606349 |
| Entity Type | Individual |
| Full Name | IAN GOROVOY |
| Credential | M.D. |
| Practice Address |
2371 Black Rock Tpke Fairfield CT 06825-3229 |
| Practice Telephone | 2033710141 |
| Practice Fax Number | 2033716585 |
| Mailing Telephone | 2033710141 |
| Mailing Fax Number | 2033716585 |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2016-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 55411 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008067004 | 05 |
| Street Address |
2371 BLACK ROCK TPKE |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-3229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841223484 | Joanna Lumba Sarracino | Ophthalmology | 2371 Black Rock Tpke, Fairfield, CT 06825-3229 | 2006-07-08 |
| 1619026671 | Ophthalmic Surgeons of Gr Bpt PC | Ophthalmology | 2371 Black Rock Tpke, Fairfield, CT 06825-3229 | 2007-01-09 |
| 1295839546 | Dan Charles Omohundro Sr. | Ophthalmology | 2371 Black Rock Tpke, Fairfield, CT 06825 | 2006-09-08 |
| 1558465807 | Marc Lawrence Weitzman | Ophthalmology | 2371 Black Rock Tpke, Fairfield, CT 06825 | 2006-09-08 |
| 1861509994 | Shelley K Driesman | Ophthalmology | 2371 Black Rock Tpke, Fairfield, CT 06825 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376535 | Andrew Kalach | Physical Therapist | 2373 Black Rock Turnpike, Fairfield, CT 06825 | 2020-08-13 |
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| 1730720145 | L Burke LLC | Marriage & Family Therapist | 2501 Old Post Rd, 2nd Floor, Fairfield, CT 06825 | 2019-10-07 |
| 1760045066 | Stephen Miguel Pou | Dentist | 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 | 2019-04-22 |
| 1548716111 | Connecticut Orthopaedic Specialists, PC | Specialist | 425 Boston Post Road, Fairfield, CT 06825 | 2016-09-01 |
| 1497131239 | Alice Z Kelly | Social Worker | 113 Sky Top Drive, Fairfield, CT 06825 | 2015-08-04 |
| 1902218647 | John Feiler | Occupational Therapist | 175 Jefferson St., Fairfield, CT 06825 | 2014-05-29 |
| 1710242870 | Bridge Partnership, LLC | Community/Behavioral Health | 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 | 2012-07-05 |
| 1154614543 | Center for The Healing Arts, PC | Internal Medicine | 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 | 2011-05-18 |
| 1538468012 | Barbara Cohen | Occupational Therapist | 175 Jefferson Street, Fairfield, CT 06825 | 2011-03-23 |
| Find all providers in zip 06825 | ||||
| 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 |
|---|---|---|---|---|
| 1235302704 | Robbins Eye Center PC | Ophthalmology | 1 Sasco Hill Rd, Fairfield, CT 06824-5670 | 2008-04-07 |
| 1356543417 | Leonard Flom | Ophthalmology | 40 Hamilton Ct, Fairfield, CT 06824-7831 | 2007-06-01 |
| 1497897532 | Vitreo-retinal Medical Group, Inc. | Ophthalmology | 2470 Hilborn Rd, Suite 150, Fairfield, CA 94534-1100 | 2007-02-13 |
| 1467527523 | Carol L Anderson | Ophthalmology | 5161 Pleasant Ave, Fairfield, OH 45014-2639 | 2006-11-22 |
| 1205917069 | George A Bullwinkel Jr. | Ophthalmology | 22 Barrister Ln, Fairfield, CT 06824-7824 | 2006-10-18 |
| 1356449250 | Kim P Robbins | Ophthalmology | 1 Sasco Hill Rd Ofc 202, Office 202, Fairfield, CT 06824-5670 | 2006-09-21 |
| 1659384410 | Charles M Crosson | Ophthalmology | 2469 Rockville Rd, Fairfield, CA 94534-1424 | 2006-08-14 |
| 1508877408 | Stephen Mark Rabinowitz | Ophthalmology | 2371 Black Rock Turnpike, Fairfield, CT 06825 | 2006-08-10 |
| 1841223484 | Joanna Lumba Sarracino | Ophthalmology | 2371 Black Rock Tpke, Fairfield, CT 06825-3229 | 2006-07-08 |
| 1598710378 | Theodore Perl | Ophthalmology | 100 Passaic Ave, Suite 200, Fairfield, NJ 07004-3520 | 2006-05-23 |
| Find all providers in FAIRFIELD | ||||
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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.