Dr. Shelley K Driesman
Ophthalmology

Address: 2371 Black Rock Tpke, Fairfield, CT 06825
Phone: 2033710141

Dr. Shelley K Driesman (NPI# 1861509994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1861509994
Entity Type Individual
Full Name Dr. Shelley K Driesman
Credential MD
Gender Female
Practice Address 2371 Black Rock Tpke
Fairfield
CT 06825
Practice Telephone 2033710141
Practice Fax Number 2033716585
Mailing Address 2371 Black Rock Tpke
Fairfield
CT 06825
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-08-24
Last Update Date 2011-05-12

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207W00000X Ophthalmology Allopathic & Osteopathic Physicians 25509 CT

Other Provider Identifier

State Identifier Issuer Type Code
CT 1255090 MEDICAID

Physician Overview

NPI 1861509994
PAC ID by PECOS 0840312815
Professional Enrollment ID I20110429000012
Full Name Shelley Driesman
Organization Legal Name OPHTHALMIC SURGEONS OF GR BPT PC
Phone Number 2033861800
Gender F
Medical School BROWN UNIVERSITY PROGRAM IN MEDICINE
Graduation Year 1980
Primary Specialty OPHTHALMOLOGY
Group Practice PAC ID 7214968353
Number of Group Practice Members 5
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Office Location

Street Address 2371 BLACK ROCK TPKE
City FAIRFIELD
State CT
Zip Code 06825

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841223484 Joanna Lumba Sarracino Ophthalmology 2371 Black Rock Tpke, Fairfield, CT 06825-3229 2006-07-08
1750606349 Ian Gorovoy Ophthalmology 2371 Black Rock Tpke, Fairfield, CT 06825-3229 2010-04-07
1619026671 Ophthalmic Surgeons of Gr Bpt PC Ophthalmology 2371 Black Rock Tpke, Fairfield, CT 06825-3229 2007-01-09
1295839546 Dan Charles Omohundro Sr. Ophthalmology 2371 Black Rock Tpke, Fairfield, CT 06825 2006-09-08
1558465807 Marc Lawrence Weitzman Ophthalmology 2371 Black Rock Tpke, Fairfield, CT 06825 2006-09-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023513132 Carolyn Brown Nurse Practitioner 15 Northwood Rd, Fairfield, CT 06825 2018-03-29
1548716111 Connecticut Orthopaedic Specialists, PC Specialist 425 Boston Post Road, Fairfield, CT 06825 2016-09-01
1497131239 Alice Z Kelly Social Worker 113 Sky Top Drive, Fairfield, CT 06825 2015-08-04
1902218647 John Feiler Occupational Therapist 175 Jefferson St., Fairfield, CT 06825 2014-05-29
1710242870 Bridge Partnership, LLC Community/Behavioral Health 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 2012-07-05
1841567302 Michelle Ann Hessberger Acupuncturist 2452 Black Rock Tpke Ste 7, Fairfield, CT 06825 2011-11-28
1154614543 Center for The Healing Arts, PC Internal Medicine 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 2011-05-18
1881995009 Jewish Home for The Elderly Skilled Nursing Facility 175 Jefferson Street, Fairfield, CT 06825 2010-11-04
1265769467 Nicole Ann Woering Nurse Practitioner 1817 Black Rock Tpke Ste 206, Fairfield, CT 06825 2009-11-09
1588827653 Valentine Edusa Obstetrics & Gynecology 2228 Black Rock Tpke Ste 211, Fairfield, CT 06825 2008-07-08
Find all providers in zip 06825

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356543417 Leonard Flom Ophthalmology 40 Hamilton Ct, Fairfield, CT 06824-7831 2007-06-01
1497897532 Vitreo-retinal Medical Group, Inc. Ophthalmology 2470 Hilborn Rd, Suite 150, Fairfield, CA 94534-1100 2007-02-13
1467527523 Carol L Anderson Ophthalmology 5161 Pleasant Ave, Fairfield, OH 45014-2639 2006-11-22
1205917069 George A Bullwinkel Jr. Ophthalmology 22 Barrister Ln, Fairfield, CT 06824-7824 2006-10-18
1356449250 Kim P Robbins Ophthalmology 1 Sasco Hill Rd Ofc 202, Office 202, Fairfield, CT 06824-5670 2006-09-21
1659384410 Charles M Crosson Ophthalmology 2469 Rockville Rd, Fairfield, CA 94534-1424 2006-08-14
1508877408 Stephen Mark Rabinowitz Ophthalmology 2371 Black Rock Turnpike, Fairfield, CT 06825 2006-08-10
1841223484 Joanna Lumba Sarracino Ophthalmology 2371 Black Rock Tpke, Fairfield, CT 06825-3229 2006-07-08
1598710378 Theodore Perl Ophthalmology 100 Passaic Ave, Suite 200, Fairfield, NJ 07004-3520 2006-05-23
1821067364 Kelly P O'neill Ophthalmology 563 Wessel Dr, Fairfield, OH 45014-3668 2006-03-16
Find all providers in FAIRFIELD

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City FAIRFIELD
Zip Code 06825

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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