Connecticut Vision Center, LLC
Optometrist in East Haven, CT. Organization (NPI-2).
NPI number1942459615
StatusActive
Last updated in NPPESOct 19, 2010
Details
- NPI
- 1942459615
- Entity type
- Organization (NPI-2)
- Legal business name
- Connecticut Vision Center, LLC
- Organization subpart
- No
- Enumeration date
- Sep 17, 2008
- Last updated
- Oct 19, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 2426 | CT | Yes |
Practice location
64 Thompson StSuite B104
East Haven, CT 06513-5707
Phone 203-469-1012 · Fax 203-467-1369
Mailing address
64 Thompson St Ste B104East Haven, CT 06513-5701
Phone 203-469-1012 · Fax 203-467-1369
Authorized official
Maria I Diaz
Owner/Optometrist
2034691012
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Other Optometrist providers in East Haven, CT
- Marc Denigris, O.D.NPI 1487879656
- Maria I Diaz, ODNPI 1265408371
- East Haven Eye Care, LLCNPI 1902164148
- Lindsay LelasNPI 1790531283
- Karlee Muller, ODNPI 1255838991
All 6 Optometrist providers in East Haven · All 336 providers in East Haven
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