MEDICARE: GREENWICH EYE CENTER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	152WC0802X	Corneal and Contact Management Optometrist	CT
2	152WC0802X	Corneal and Contact Management Optometrist	NJ
3	152WC0802X	Corneal and Contact Management Optometrist	NY
4	207W00000X	Ophthalmology Physician	CT
5	207W00000X	Ophthalmology Physician	NJ
6	207W00000X	Ophthalmology Physician	NY

General Provider Information

NPI Number	:	1346279007
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREENWICH EYE CENTER

Provider Business Mailing Address
First Line	:	41 W PUTNAM AVE
Second Line	:
City	:	GREENWICH
State	:	CT
Zip	:	06830-5300
Country	:	US
Telephone Number	:	203-869-2255
Fax Number	:	203-869-0333

Provider Business Practice Location Address
First Line	:	41 W PUTNAM AVE
Second Line	:
City	:	GREENWICH
State	:	CT
Zip	:	06830-5300
Country	:	US
Telephone Number	:	203-869-2255
Fax Number	:	203-869-0333

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	JAYNE CAPRIO
Credential	:
Telephone Number	:	203-869-2255

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	09/11/2025

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Directions to “GREENWICH EYE CENTER ” Practice Location

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