# HARTFORD EYE PHYSICIANS PC

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

## Provider details

- **NPI number:** 1114986346
- **Authorized official:** SCOTT L DOLIN MD (PRESIDENT)
- **Authorized official phone:** (860) 633-6634

## Contact information

- **Practice address:** 55 NYE RD, SUITE 104, GLASTONBURY, CT 06033-1281
- **Practice address phone:** (860) 633-6634
- **Practice address fax:** (860) 652-3291
- **Mailing address:** 55 NYE RD, SUITE 104, GLASTONBURY, CT 06033-1281
- **Mailing address phone:** (860) 633-6634
- **Mailing address fax:** (860) 652-3291

## Taxonomy

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

## Other

- **Enumeration date:** 03/17/2006
- **Last updated:** 01/30/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004001640 | — | CT |
| 01 | — | 0351860002 | MEDICARE DURABLE MEDICAL EQUIPMENT PROVIDER NUMBER | — |