Southeast Connecticut Eye Care, Llc is a medicare enrolled "Ophthalmology" provider in Groton, Connecticut. Their current practice location is
1041 Poquonnock Rd, Groton, Connecticut. You can reach out to their office (for appointments etc.) via phone at
(860) 373-4148.
Southeast Connecticut Eye Care, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Southeast Connecticut Eye Care, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1326568502.
Healthcare Provider's Profile
| Full Name | Southeast Connecticut Eye Care, Llc |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 1041 Poquonnock Rd, Groton, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1326568502
- Provider Enumeration Date: 06/20/2017
- Last Update Date: 09/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 2769755255
- Enrollment ID: O20170905002635
Medical Identifiers
Medical identifiers for Southeast Connecticut Eye Care, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326568502 | NPI | - | NPPES |
| 001443556 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Southeast Connecticut Eye Care, Llc acts as a billing entity for following providers:
| Provider Name | Kevin B Cranmer |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1790740934
PECOS PAC ID: 4880607746
Enrollment ID: I20060718000097 |
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| Provider Name | Paul F Hyder |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1912942210
PECOS PAC ID: 3173688546
Enrollment ID: I20090218000498 |
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| Provider Name | William J Kaufold |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1518074145
PECOS PAC ID: 2264585991
Enrollment ID: I20090729000005 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Southeast Connecticut Eye Care, Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Southeast Connecticut Eye Care, Llc
12 Case St Ste 215,
Norwich, CT 06360-2222
Ph: (860) 373-4148 | Southeast Connecticut Eye Care, Llc
1041 Poquonnock Rd,
Groton, CT 06340-4211
Ph: (860) 373-4148 |
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