Healthcare Provider Details

I. General information

NPI: 1154230662
Provider Name (Legal Business Name): STARLING PHYSICIANS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1166 FARMINGTON AVE
BERLIN CT
06037-2302
US

IV. Provider business mailing address

2110 SILAS DEANE HWY
ROCKY HILL CT
06067-2353
US

V. Phone/Fax

Practice location:
  • Phone: 860-829-8939
  • Fax: 860-829-8938
Mailing address:
  • Phone: 860-832-4666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: SUSAN LYNNE MATTHEWS
Title or Position: MANAGER CREDENTIALING PAYER ENROLL
Credential:
Phone: 832-364-7415