Healthcare Provider Details

I. General information

NPI: 1487750659
Provider Name (Legal Business Name): EYE PHYSICIAN & SURGEONS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 BOSTON POST RD
ORANGE CT
06477-3504
US

IV. Provider business mailing address

325 BOSTON POST RD
ORANGE CT
06477-3504
US

V. Phone/Fax

Practice location:
  • Phone: 203-795-0766
  • Fax: 203-799-7325
Mailing address:
  • Phone: 203-795-0766
  • Fax: 203-799-7325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SETH W MESKIN
Title or Position: PRESIDENT
Credential:
Phone: 203-878-1236