Provider Demographics
NPI:1750325635
Name:ABRAMS, MICHAEL SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:SCOTT
Last Name:ABRAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 SAND PIT RD STE 101
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-4004
Mailing Address - Country:US
Mailing Address - Phone:203-791-2020
Mailing Address - Fax:203-778-6238
Practice Address - Street 1:69 SAND PIT RD STE 101
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-4004
Practice Address - Country:US
Practice Address - Phone:203-791-2020
Practice Address - Fax:203-778-6238
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.133787207W00000X
UT162806154207W00000X
CT66663207WX0110X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT3498932002OtherCIGNA
UT5959492OtherAETNA
UT0800063OtherUHC
UT87028357684057B001OtherTRICARE
UT870283576AB1OtherEMIA
UT107007998101OtherIHC
UT44306OtherPEHP
UT87028357684057B001OtherPGBA
UT3498932002OtherCIGNA
UT87028357684057B001OtherTRICARE