# CONSULTING OPHTHALMOLOGISTS, PC

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

## Provider details

- **NPI number:** 1073561767
- **Authorized official:** MARIA ANN MAZZOCCOLI (DIRECTOR OF HIT)
- **Authorized official phone:** (860) 678-0202

## Contact information

- **Practice address:** 499 FARMINGTON AVE STE 100, FARMINGTON, CT 06032-1933
- **Practice address phone:** (860) 674-7606
- **Practice address fax:** (860) 674-7602
- **Mailing address:** 499 FARMINGTON AVE STE 100, FARMINGTON, CT 06032-1933
- **Mailing address phone:** (860) 674-7606
- **Mailing address fax:** (860) 674-7602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 03/04/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004001624 | — | CT |
| 01 | — | CD3799 | RAILROAD MEDICARE | — |