# OPHTHALMIC CONSULTANTS OF CONNECTICUT PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OPHTHALMIC CONSULTANTS OF CONNECTICUT
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1659319598
- **Legal business name:** OPHTHALMIC CONSULTANTS OF CONNECTICUT
- **Authorized official:** JOSEPH THIMONS OD (VICE PRESIDENT)
- **Authorized official phone:** (203) 366-8000

## Contact information

- **Practice address:** 1375 KINGS HWY, FAIRFIELD, CT 06824-5318
- **Practice address phone:** (203) 366-8000
- **Mailing address:** 825 E GATE BLVD STE 111, GARDEN CITY, NY 11530-2136
- **Mailing address phone:** (516) 804-5200
- **Mailing address fax:** (516) 240-6540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 002247 | CT | — |
| 207W00000X | Ophthalmology Physician | 041155 | CT | Yes |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 07/07/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001411553 | — | CT |
| 05 | — | 004226115 | — | CT |
