CONNECTICUT EYE PHYSICIANS AND SURGEONS LLC
NPI 1760675409
Ophthalmology in South Windsor, CT

Active since August 27, 2007
479 BUCKLAND RD, SOUTH WINDSOR, CT 06074(860) 644-5011(860) 644-4833 Get Directions Write a Review

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

About Connecticut Eye Physicians And Surgeons Llc NPPES

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

CONNECTICUT EYE PHYSICIANS AND SURGEONS LLC (NPI 1760675409) is a healthcare organization registered as an ophthalmology in South Windsor, Connecticut and active in the NPI registry since August 2007. The organization lists Richard J Manganiello, Owner;/provider, as its authorized official.

NPPES Registry Identity

NPI1760675409
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameCONNECTICUT EYE PHYSICIANS AND SURGEONS LLC
Location Address479 BUCKLAND RDSouth Windsor, CT 06074-3739
Mailing Address479 Buckland Rd Ste ASouth Windsor, CT 06074-3739 · (860) 644-5011 · Fax (860) 644-4833
Fax(860) 644-4833
Organization SubpartNo
Authorized OfficialRichard J ManganielloOwner;/provider · (860) 644-5011
Enumeration DateAugust 27, 2007
Last NPPES UpdateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
✔ NPI 1760675409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CT · 035387
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.
479 BUCKLAND RD, South Windsor, CT 06074

Other Identifiers 1

Medicaid001353870CT

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)

Connecticut Eye Physicians And Surgeons Llc 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 Connecticut Eye Physicians And Surgeons LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ophthalmology
NPI 1003881764
479 BUCKLAND RD
South Windsor, CT 06074
(860) 644-5011
✔ 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 Connecticut Eye Physicians And Surgeons LLC's NPI number?

The NPI number for Connecticut Eye Physicians And Surgeons LLC is 1760675409. It was assigned to this organization in the NPPES registry on August 27, 2007.

Where is Connecticut Eye Physicians And Surgeons LLC located?

Connecticut Eye Physicians And Surgeons LLC is located at 479 Buckland Rd, South Windsor, CT 06074. The listed phone number is (860) 644-5011.

What is Connecticut Eye Physicians And Surgeons LLC's specialty?

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

Is Connecticut Eye Physicians And Surgeons LLC enrolled in Medicare?

Yes. Connecticut Eye Physicians And Surgeons LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Connecticut Eye Physicians And Surgeons LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Connecticut Eye Physicians And Surgeons LLC. 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 Connecticut Eye Physicians And Surgeons LLC was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.