| Dr Vicente Antonio Diaz, MD | |
|
495 Hawley Ln, Stratford, CT 06614-1514 | |
| (203) 375-5819 | |
| Not Available |
| Full Name | Dr Vicente Antonio Diaz |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 20 Years |
| Location | 495 Hawley Ln, Stratford, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114190154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 251919 (New York) | Secondary |
| 207WX0108X | Ophthalmology - Uveitis And Ocular Inflammatory Disease | 048651 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bridgeport Hospital | Bridgeport, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yale University | 9436061736 | 2389 |
| Entity Name | Yale University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
| Entity Name | Optimus Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669445946 PECOS PAC ID: 9335051580 Enrollment ID: O20031105000254 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vicente Antonio Diaz, MD 495 Hawley Ln, Stratford, CT 06614-1514 Ph: (203) 375-5819 | Dr Vicente Antonio Diaz, MD 495 Hawley Ln, Stratford, CT 06614-1514 Ph: (203) 375-5819 |
Anthony Musto, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 3060 Main St, Stratford, CT 06614 Phone: 203-375-5819 Fax: 203-377-4337 | |
Dr. Perry Seamonds, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1825 Barnum Avenue, Stratford, CT 06614 Phone: 203-386-1800 Fax: 203-386-1888 | |
Brian M Debroff, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3060 Main St, Stratford, CT 06614 Phone: 203-375-5819 Fax: 203-377-4337 |