SHORELINE EYE GROUP
NPI 1912111386
Ophthalmology in Waterford, CT

Q: What is Shoreline Eye Group PC's NPI number?

The NPI number for Shoreline Eye Group PC is 1912111386. It was assigned to this organization in the NPPES registry on May 9, 2007. The provider is doing business as Shoreline Eye Group.

Q: What is Shoreline Eye Group PC's specialty?

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

Active since May 09, 2007

741 BROAD STREET EXT, WATERFORD, CT 06385(860) 442-5663(860) 444-7778 Get Directions Write a Review

NPPES record last updated: October 2, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Shoreline Eye Group NPPES

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

SHORELINE EYE GROUP (NPI 1912111386) is a healthcare organization registered as an ophthalmology in Waterford, Connecticut and active in the NPI registry since May 2007. The organization lists Lior Haim, President, as its authorized official.

NPPES Registry Identity

NPI1912111386

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameSHORELINE EYE GROUP PC

Location Address741 BROAD STREET EXTWaterford, CT 06385

Mailing Address741 Broad Street ExtWaterford, CT 06385-1347 · (860) 442-5663 · Fax (860) 444-7778

Phone(860) 442-5663

Fax(860) 444-7778

Organization SubpartNo

Authorized OfficialLior HaimPresident · (860) 442-5663

Enumeration DateMay 9, 2007

Last NPPES UpdateOctober 2, 2015

✔ NPI 1912111386 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.

741 BROAD STREET EXT, Waterford, CT 06385

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Other Names 1

Doing Business AsShoreline Eye Group

Other Identifiers 2

Medicare PIN180000151

Medicare PINCC0552CT

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

Other Providers at the Same Location NPPES

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

JENNY TEMNOGOROD MD

Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)

741 BROAD STREET EXT
WATERFORD, CT 06385

Southeastern Connecticut Planning Region (860) 442-5663

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 Shoreline Eye Group PC's NPI number?

The NPI number for Shoreline Eye Group PC is 1912111386. It was assigned to this organization in the NPPES registry on May 9, 2007. The provider is doing business as Shoreline Eye Group.

Where is Shoreline Eye Group PC located?

Shoreline Eye Group PC is located at 741 Broad Street Ext, Waterford, CT 06385. The listed phone number is (860) 442-5663.

What is Shoreline Eye Group PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Shoreline Eye Group PC was last updated on October 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.