# SOUTHINGTON EYE ASSOCIATES, P.C.

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

## Provider details

- **NPI number:** 1932309382
- **Authorized official:** DR. FARID FOUAD SHAFIK MD (PRESIDENT)
- **Authorized official phone:** (860) 621-4412

## Contact information

- **Practice address:** 318 NORTH MAIN STREET, UNIT 2, SOUTHINGTON, CT 06489-0648
- **Practice address phone:** (860) 621-4412
- **Mailing address:** 318 N MAIN ST STE 2D, SOUTHINGTON, CT 06489-2555
- **Mailing address phone:** (860) 621-4412
- **Mailing address fax:** (860) 609-6005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036594 | CT | Yes |

## Other

- **Enumeration date:** 07/24/2007
- **Last updated:** 01/28/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004191350 | — | CT |