# EYE CARE NORTHEAST SURGICAL PARTNERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003504705
- **Authorized official:** JAMES DEAN MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (860) 928-0414

## Contact information

- **Practice address:** 5 KENNEDY DR, PUTNAM, CT 06260-1939
- **Practice address phone:** (860) 928-0414
- **Mailing address:** 5 KENNEDY DR, PUTNAM, CT 06260-1939
- **Mailing address phone:** (860) 928-0414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 261QS0132X | Ophthalmologic Surgery Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/01/2023
- **Last updated:** 08/08/2023