| Organization Name: | COLUMBUS EYE ASSOCIATES |
| NPI Number: | 1225174436 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SCOTT KIRK (V.P. MANAGED CARE) |
| Mailing Address: | 1206 Silas Deane Hwy Ste 2 Wethersfield |
| State: | CT US |
| Postal Code: | 061094328 |
| Phone Number: | 8605093937 |
| Fax Number: | |
| NPI Enumeration Date: | 01/29/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS0132X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ophthalmologic Surgery |
| Taxonomy Definition: | |