# EYE CENTER OF SOUTHERN CONNECTUCUT, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eye Center A Medical Surgical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639245236
- **Authorized official:** PAUL E MASI MD (PRESIDENT)
- **Authorized official phone:** (203) 248-6365

## Contact information

- **Practice address:** 2880 OLD DIXWELL AVE, HAMDEN, CT 06518
- **Practice address phone:** (203) 248-6365
- **Practice address fax:** (203) 281-2742
- **Mailing address:** 415 HIGHLAND AVENUE, CHESHIRE, CT 06410
- **Mailing address phone:** (203) 272-5494
- **Mailing address fax:** (203) 272-7637

## Taxonomy

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

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 01/31/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004067435 | — | CT |