| Middlesex Eye Physicians, P.c. | |
|
400 Saybrook Rd, Suite 100, Middletown, CT 06457-4773 | |
| (860) 347-7466 | |
| (860) 347-2619 |
| Full Name | Middlesex Eye Physicians, P.c. |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 400 Saybrook Rd, Middletown, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295716413 | NPI | - | NPPES |
| CL1733 | Other | RAILROAD MEDICARE | |
| 004001632 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Peter Alan Shriver |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457313371 PECOS PAC ID: 6305949991 Enrollment ID: I20070320000511 |
| Provider Name | Rajyalakshmi Mulukutla |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659382034 PECOS PAC ID: 5294734463 Enrollment ID: I20080118000039 |
| Provider Name | Howard L Distelman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649387770 PECOS PAC ID: 8820130776 Enrollment ID: I20100115000286 |
| Provider Name | Kristy G Mascarenhas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588860282 PECOS PAC ID: 1759405616 Enrollment ID: I20100830000082 |
| Provider Name | Ann M Carone |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114956992 PECOS PAC ID: 1254517949 Enrollment ID: I20110513000263 |
| Provider Name | Tamscot S Yap |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053663112 PECOS PAC ID: 3274776240 Enrollment ID: I20130823001069 |
| Provider Name | Jessica Adejoke Olayanju |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1770994063 PECOS PAC ID: 0143530923 Enrollment ID: I20180920000590 |
| Provider Name | Nicole Aucoin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942641626 PECOS PAC ID: 5799919569 Enrollment ID: I20211215000771 |
| Provider Name | Nicole K Everett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518540905 PECOS PAC ID: 6709264286 Enrollment ID: I20220613001733 |
| Mailing Address | Practice Location Address |
|---|---|
| Middlesex Eye Physicians, P.c. 400 Saybrook Rd, Suite 100, Middletown, CT 06457-4773 Ph: (860) 347-7466 | Middlesex Eye Physicians, P.c. 400 Saybrook Rd, Suite 100, Middletown, CT 06457-4773 Ph: (860) 347-7466 |