MEDICARE: ATLANTIC EYE PHYSICIANS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1710784327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTIC EYE PHYSICIANS, PLLC

Provider Business Mailing Address
First Line	:	2550 ALBANY AVE # 1159
Second Line	:
City	:	WEST HARTFORD
State	:	CT
Zip	:	06117-2335
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1031 FARMINGTON AVE STE 101
Second Line	:
City	:	FARMINGTON
State	:	CT
Zip	:	06032-1576
Country	:	US
Telephone Number	:	860-259-4603
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PAULA FENG
Credential	:	MD
Telephone Number	:	860-259-4603

Provider Enumeration Date	:	03/01/2025
Last Update Date	:	05/05/2026

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