Healthcare Provider Details
I. General information
NPI: 1417198516
Provider Name (Legal Business Name): EYE PHYSICIANS & SURGEONS, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/19/2009
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2 TRAP FALLS RD STE 104
SHELTON CT
06484-4616
US
IV. Provider business mailing address
2 TRAP FALLS RD STE 104
SHELTON CT
06484-4616
US
V. Phone/Fax
- Phone: 203-944-0464
- Fax: 203-944-0344
- Phone: 203-944-0464
- Fax: 203-944-0344
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SETH
W
MESKIN
Title or Position: PRESIDENT
Credential: MD
Phone: 203-878-1236