Provider Demographics
NPI:1235205303
Name:CONNECTICUT EYE PHYSICIANS P.C.
Entity Type:Organization
Organization Name:CONNECTICUT EYE PHYSICIANS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BEGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-347-9377
Mailing Address - Street 1:535 SAYBROOK ROAD
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-4711
Mailing Address - Country:US
Mailing Address - Phone:860-347-9377
Mailing Address - Fax:860-347-4146
Practice Address - Street 1:535 SAYBROOK ROAD
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-4711
Practice Address - Country:US
Practice Address - Phone:860-347-9377
Practice Address - Fax:860-347-4146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTCJ2755OtherRAILROAD MEDICARE
CT004172821Medicaid
CT004172821Medicaid
CTCJ2755OtherRAILROAD MEDICARE
CTC02278Medicare UPIN
CT6130580001Medicare NSC