# SURGICAL & MEDICAL OPHTHALMOLOGY LLC

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

## Provider details

- **NPI number:** 1184818189
- **Authorized official:** DR. DEBORAH ANN DOWNES M.D. (BUSINESS OWNER)
- **Authorized official phone:** (860) 646-4083

## Contact information

- **Practice address:** 295 E CENTER ST, MANCHESTER, CT 06040-5211
- **Practice address phone:** (860) 646-4083
- **Practice address fax:** (860) 647-1733
- **Mailing address:** 295 E CENTER ST, MANCHESTER, CT 06040-5211
- **Mailing address phone:** (860) 646-4083
- **Mailing address fax:** (860) 647-1733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 027201 | CT | Yes |

## Other

- **Enumeration date:** 09/02/2007
- **Last updated:** 01/08/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004174033 | — | CT |
| 01 | — | CH5727 | MEDICARE RR PROVIDER \# | CT |