EYE CARE NORTHEAST SURGICAL PARTNERS LLC
NPI 1003504705
Clinic/Center - Ambulatory Surgical in Putnam, CT

Active since May 01, 2023CLIA 07D2074972 · Waiver
5 KENNEDY DR, PUTNAM, CT 06260(860) 928-0414 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2023, May 1, 2023 (2 updates tracked since 2023).

About Eye Care Northeast Surgical Partners Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EYE CARE NORTHEAST SURGICAL PARTNERS LLC (NPI 1003504705) is a healthcare organization registered as an ambulatory surgical in Putnam, Connecticut and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through March 18, 2028 and lists James Dean, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1003504705
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameEYE CARE NORTHEAST SURGICAL PARTNERS LLC
Location Address5 KENNEDY DRPutnam, CT 06260-1939
Mailing Address5 Kennedy DrPutnam, CT 06260-1939 · (860) 928-0414
Organization SubpartNo
Authorized OfficialJames DeanMedical Director · (860) 928-0414
Enumeration DateMay 1, 2023
Last NPPES UpdateAugust 8, 20232 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
NPI 1003504705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedClinic/Center · Ophthalmologic SurgeryTaxonomy 261QS0132X
5 KENNEDY DR, Putnam, CT 06260

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2074972

Eye Care Northeast PC · Putnam, CT
Active · expires Mar 18, 2028
CLIA Number07D2074972
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2026
Certificate Expiration DateMarch 18, 2028
Laboratory DirectorJames C. Dean
Laboratory Phone(860) 928-0414
Laboratory LocationEye Care Northeast PC5 Kennedy Dr, Putnam, CT 06260
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Technician/Technologist (Optician)
5 KENNEDY DR
PUTNAM, CT 06260
Ophthalmology
5 KENNEDY DR
PUTNAM, CT 06260
Eyewear Supplier
5 KENNEDY DR
PUTNAM, CT 06260
Ophthalmology
5 KENNEDY DR
PUTNAM, CT 06260
Technician/Technologist (Optician)
5 KENNEDY DR
PUTNAM, CT 06260
Ophthalmology
5 KENNEDY DR
PUTNAM, CT 06260
Optometrist
5 KENNEDY DR
PUTNAM, CT 06260
Eyewear Supplier
5 KENNEDY DR
PUTNAM, CT 06260

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eye Care Northeast Surgical Partners LLC's NPI number?

The NPI number for Eye Care Northeast Surgical Partners LLC is 1003504705. It was assigned to this organization in the NPPES registry on May 1, 2023.

Where is Eye Care Northeast Surgical Partners LLC located?

Eye Care Northeast Surgical Partners LLC is located at 5 Kennedy Dr, Putnam, CT 06260. The listed phone number is (860) 928-0414.

What is Eye Care Northeast Surgical Partners LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Eye Care Northeast Surgical Partners LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2074972) is associated with this NPI, valid through March 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eye Care Northeast Surgical Partners LLC was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.