SOUTHINGTON EYE ASSOCIATES, P.C.
NPI 1932309382
Ophthalmology in Southington, CT

Active since July 24, 2007
318 NORTH MAIN STREET, UNIT 2, SOUTHINGTON, CT 06489(860) 621-4412 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southington Eye Associates, P.c. NPPES

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

SOUTHINGTON EYE ASSOCIATES, P.C. (NPI 1932309382) is a healthcare organization registered as an ophthalmology in Southington, Connecticut and active in the NPI registry since July 2007. The organization lists Farid Fouad Shafik, President, as its authorized official.

NPPES Registry Identity

NPI1932309382
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameSOUTHINGTON EYE ASSOCIATES, P.C.
Location Address318 NORTH MAIN STREET, UNIT 2Southington, CT 06489-0648
Mailing Address318 N Main St Ste 2dSouthington, CT 06489-2555 · (860) 621-4412 · Fax (860) 609-6005
Organization SubpartNo
Authorized OfficialFarid Fouad ShafikPresident · (860) 621-4412
Enumeration DateJuly 24, 2007
Last NPPES UpdateJanuary 28, 2025
NPPES CertifiedJanuary 28, 2025
✔ NPI 1932309382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CT · 036594
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.
318 NORTH MAIN STREET, Southington, CT 06489

Other Identifiers 1

Medicaid004191350CT

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southington Eye Associates, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateConnecticutEnrollment IDO20120227000177Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southington Eye Associates, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Ophthalmology
NPI 1598778896
318 NORTH MAIN ST UNIT 2
Southington, CT 06489
(860) 621-4412
✔ 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 Southington Eye Associates, P.C.'s NPI number?

The NPI number for Southington Eye Associates, P.C. is 1932309382. It was assigned to this organization in the NPPES registry on July 24, 2007.

Where is Southington Eye Associates, P.C. located?

Southington Eye Associates, P.C. is located at 318 North Main Street Unit 2, Southington, CT 06489. The listed phone number is (860) 621-4412.

What is Southington Eye Associates, P.C.'s specialty?

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

Is Southington Eye Associates, P.C. enrolled in Medicare?

Yes. Southington Eye Associates, P.C. is registered in the Medicare PECOS enrollment system.

When is Southington Eye Associates, P.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Southington Eye Associates, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Southington Eye Associates, P.C.. 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.

What insurance does Southington Eye Associates, P.C. accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and BlueCross BlueShield of Tennessee list Southington Eye Associates, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southington Eye Associates, P.C. was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.