MEDICARE: FALCK EYE CENTERS, L.L.C.

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	174400000X	Specialist	033284	CT

General Provider Information

NPI Number	:	1255542882
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FALCK EYE CENTERS, L.L.C.

Provider Business Mailing Address
First Line	:	35 WASHINGTON ST
Second Line	:
City	:	MYSTIC
State	:	CT
Zip	:	06355-2816
Country	:	US
Telephone Number	:	860-572-2020
Fax Number	:	860-572-2000

Provider Business Practice Location Address
First Line	:	35 WASHINGTON ST
Second Line	:
City	:	MYSTIC
State	:	CT
Zip	:	06355-2816
Country	:	US
Telephone Number	:	860-572-2020
Fax Number	:	860-572-2000

Authorized Official
Title or Position	:	OPHTHALMOLOGIST
Name	:	DR. FRANCIS Y. FALCK JR.
Credential	:	M.D., PH.D., M.S.
Telephone Number	:	860-857-2020

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	08/22/2020

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Directions to “FALCK EYE CENTERS, L.L.C. ” Practice Location

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