Active NPIIndividual provider

Larissa A Habib, MD

Ophthalmology in Fairfield, Connecticut

NPI Number1447525654
Practice location
1817 Black Rock Tpke Ste 204, Fairfield, CT 06825-3546
Fax
—
Last updated
May 22, 2024

Larissa Ann Habib is an Ophthalmology based in Fairfield, CT. Larissa Ann Habib practices in Fairfield, CT and has the professional credentials of MD. The NPI Number for Larissa Ann Habib is 1447525654 and holds a License No. 63953 (CT). The current practice location address for Larissa Ann Habib is 1817 Black Rock Tpke Ste 204, Fairfield, CT 06825-3546 and can be reached out via phone at 203-424-0228.

Provider Profile Details

NPI Number
1447525654
Provider Name
Larissa Ann Habib
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1817 Black Rock Tpke Ste 204, Fairfield, CT 06825-3546
Phone Number
203-424-0228
Primary Taxonomy
Ophthalmology · 207W00000X
Sole Proprietor
No
Other Names
Ms. Larissa Ann Gregory (Former Name)
Provider Enumeration Date
March 21, 2012
Last Update Date
May 22, 2024
Certification Date
May 22, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1817 Black Rock Tpke Ste 204
Fairfield, CT 06825-3546
Zip
06825-3546
Phone Number
203-424-0228
Fairfield, CT 06825Get directions →

Provider Business Mailing Address Details

Address
1817 Black Rock Tpke Ste 204
Fairfield, CT 06825-3546
City
Fairfield
State
CT
Zip
06825-3546
Phone Number
032-420-0228

License Information

License Number (1)
63953
License State (1)
CT
License Number (2)
63953
License State (2)
CT
Taxonomy (2)
Ophthalmology · 207W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Larissa A Habib, MD?

The NPI number of Larissa A Habib, MD is 1447525654. It was assigned on March 21, 2012 and is currently active in the NPPES registry.

What is the specialty of Larissa A Habib, MD?

Larissa A Habib, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in CT under license number 63953.

Where does Larissa A Habib, MD practice?

The practice location is 1817 Black Rock Tpke Ste 204, Fairfield, CT 06825-3546. The office can be reached at 203-424-0228 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447525654 directly on the NPPES registry website.

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