# EYE MD OF PLAINFIELD LLC

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

## Provider details

- **NPI number:** 1457505653
- **Authorized official:** RAMSEY TARABISHY MD (OWNER, LLC MEMBER)
- **Authorized official phone:** (860) 564-4555

## Contact information

- **Practice address:** 50 ACADEMY HILL RD, PLAINFIELD, CT 06374-1600
- **Practice address phone:** (860) 564-4555
- **Practice address fax:** (860) 564-4611
- **Mailing address:** 50 ACADEMY HILL RD, PLAINFIELD, CT 06374-1600
- **Mailing address phone:** (860) 564-4555
- **Mailing address fax:** (860) 564-4611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 026332 | CT | Yes |

## Other

- **Enumeration date:** 11/14/2008
- **Last updated:** 09/02/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 010026332CT02 | ANTHEM BCBS | CT |
| 05 | — | 01263326 | — | CT |
| 01 | — | OV5491 | HEALTHNET | CT |