Organization
SOUTHINGTON EYE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARID FOUAD SHAFIK MD (PRESIDENT)
(860) 621-4412
Entity
Organization
Contact information
Practice address
318 NORTH MAIN STREET, UNIT 2, SOUTHINGTON, CT 06489-0648
(860) 621-4412
Mailing address
318 N MAIN ST STE 2D, SOUTHINGTON, CT 06489-2555
(860) 621-4412
(860) 609-6005
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036594
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004191350
—
CT
Enumeration date
07/24/2007
Last updated
01/28/2025
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