ADVANCED OPHTHALMOLOGY OF CONNECTICUT LLC - NPI 1457778193

Q: What is Advanced Ophthalmology Of Connecticut LLC's specialty?

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

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About Advanced Ophthalmology Of Connecticut Llc NPPES

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

ADVANCED OPHTHALMOLOGY OF CONNECTICUT LLC (NPI 1457778193) is a healthcare organization registered as an ophthalmology in Old Greenwich, Connecticut and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through April 10, 2028 and lists Robert Joseph Fucigna, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1457778193

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameADVANCED OPHTHALMOLOGY OF CONNECTICUT LLC

Location Address1455 EAST PUTNAM AVENUEOld Greenwich, CT 06870

Mailing Address1455 East Putnum AvenueOld Greenwich, CT 06870 · (203) 348-7573 · Fax (203) 348-2893

Phone(203) 348-7573

Fax(203) 348-2893

Organization SubpartNo

Authorized OfficialRobert Joseph FucignaMedical Director · (203) 348-7575

Enumeration DateMarch 19, 2014

Last NPPES UpdateJanuary 13, 2015

✔ NPI 1457778193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in CT · 35457

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.

1455 EAST PUTNAM AVENUE, Old Greenwich, CT 06870

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Other Identifiers 1

Medicare UPING10667CT

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

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 07D2111543

Advanced Ophthalmology Of Connecticut · Old Greenwich, CT

Active · expires Apr 10, 2028

CLIA Number07D2111543

Laboratory TypePhysician Office

Certificate Effective DateApril 11, 2026

Certificate Expiration DateApril 10, 2028

Laboratory DirectorRobert J. Fucigna

Laboratory Phone(203) 348-7573

Laboratory LocationAdvanced Ophthalmology Of Connecticut1455 East Putnam Ave, Old Greenwich, CT 06870

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 2

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

DR. RUSSELL FREDERICK TURK M.D.

Obstetrics & Gynecology

1455 EAST PUTNAM AVENUE, 1ST FLOOR
OLD GREENWICH, CT 06870

Western Connecticut Planning Region (203) 637-3337

MS. JUDY HARRIS FARNSWORTH PA

Physician Assistant (Medical)

1455 EAST PUTNAM AVENUE, 1ST FLOOR
OLD GREENWICH, CT 06870

Western Connecticut Planning Region (203) 637-3337

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 Advanced Ophthalmology Of Connecticut LLC's NPI number?

The NPI number for Advanced Ophthalmology Of Connecticut LLC is 1457778193. It was assigned to this organization in the NPPES registry on March 19, 2014.

Where is Advanced Ophthalmology Of Connecticut LLC located?

Advanced Ophthalmology Of Connecticut LLC is located at 1455 East Putnam Avenue, Old Greenwich, CT 06870. The listed phone number is (203) 348-7573.

What is Advanced Ophthalmology Of Connecticut LLC's specialty?

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

Does Advanced Ophthalmology Of Connecticut LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2111543) is associated with this NPI, valid through April 10, 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 Advanced Ophthalmology Of Connecticut LLC was last updated on January 13, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.