NORTHEAST OPHTHALMIC PLASTIC AND RECONSTRUCTIVE SURGEONS PLLC
NPI 1295499820
Ophthalmology in Fairfield, CT

Q: What is Northeast Ophthalmic Plastic And Reconstructive Surgeons PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since October 29, 2021

1817 BLACK ROCK TPKE, FAIRFIELD, CT 06825(203) 424-0228 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 31, 2022, Jan 13, 2022, Dec 16, 2021 (3 updates tracked since 2021).

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About Northeast Ophthalmic Plastic And Reconstructive Surgeons Pllc NPPES

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

NORTHEAST OPHTHALMIC PLASTIC AND RECONSTRUCTIVE SURGEONS PLLC (NPI 1295499820) is a healthcare organization registered as an ophthalmology in Fairfield, Connecticut and active in the NPI registry since October 2021. The organization lists Larissa Habib, Physician, as its authorized official.

NPPES Registry Identity

NPI1295499820

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameNORTHEAST OPHTHALMIC PLASTIC AND RECONSTRUCTIVE SURGEONS PLLC

Location Address1817 BLACK ROCK TPKEFairfield, CT 06825-3515

Mailing Address1817 Black Rock TpkeFairfield, CT 06825-3515 · (203) 424-0228

Phone(203) 424-0228

Organization SubpartNo

Authorized OfficialLarissa HabibPhysician · (203) 424-0228

Enumeration DateOctober 29, 2021

Last NPPES UpdateMay 22, 20243 updates tracked since enumeration

NPPES CertifiedMay 22, 2024

✔ NPI 1295499820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1817 BLACK ROCK TPKE, Fairfield, CT 06825

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Other Identifiers 1

Medicaid008089624CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeast Ophthalmic Plastic And Reconstructive Surgeons Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Northeast Ophthalmic Plastic And Reconstructive Surgeons PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Larissa Habib, MD

Ophthalmology

NPI 1447525654

1817 BLACK ROCK TPKE STE 204
Fairfield, CT 06825

(203) 424-0228

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Northeast Ophthalmic Plastic And Reconstructive Surgeons PLLC's NPI number?

The NPI number for Northeast Ophthalmic Plastic And Reconstructive Surgeons PLLC is 1295499820. It was assigned to this organization in the NPPES registry on October 29, 2021.

Where is Northeast Ophthalmic Plastic And Reconstructive Surgeons PLLC located?

Northeast Ophthalmic Plastic And Reconstructive Surgeons PLLC is located at 1817 Black Rock Tpke, Fairfield, CT 06825. The listed phone number is (203) 424-0228.

What is Northeast Ophthalmic Plastic And Reconstructive Surgeons PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Northeast Ophthalmic Plastic And Reconstructive Surgeons PLLC enrolled in Medicare?

Yes. Northeast Ophthalmic Plastic And Reconstructive Surgeons PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeast Ophthalmic Plastic And Reconstructive Surgeons PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Northeast Ophthalmic Plastic And Reconstructive Surgeons PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northeast Ophthalmic Plastic And Reconstructive Surgeons PLLC was last updated on May 22, 2024. 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.