Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeast Ophthalmic Plastic and Reconstructive Surgeons PLLC

Organization Ophthalmology Physician · NPI 1295499820

Northeast Ophthalmic Plastic and Reconstructive Surgeons PLLC is an Ophthalmology Physician in Fairfield, Connecticut. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1817 Black Rock Tpke
Fairfield, CT 06825-3515
Phone: (203) 424-0228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X

Record details

NPI number1295499820
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larissa Habib — Physician · (203) 424-0228
NPI enumeratedOctober 29, 2021
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024
Mailing address1817 Black Rock Tpke, Fairfield, CT 06825-3515

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