Organization
CONSULTING OPHTHALMOLOGISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ANN MAZZOCCOLI (DIRECTOR OF HIT)
(860) 678-0202
Entity
Organization
Contact information
Practice address
499 FARMINGTON AVE STE 100, FARMINGTON, CT 06032-1933
(860) 674-7606
(860) 674-7602
Mailing address
499 FARMINGTON AVE STE 100, FARMINGTON, CT 06032-1933
(860) 674-7606
(860) 674-7602
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004001624
—
CT
01
—
CD3799
RAILROAD MEDICARE
—
Enumeration date
05/04/2006
Last updated
03/04/2026
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