OrganizationActive
Constitution Eye Surgery Center LLC
NPI 1710904537 · Ophthalmologic Surgery Clinic/Center · Newington, CT
Provider details
- NPI number
- 1710904537
- Entity type
- Organization
- Primary specialty
- Ophthalmologic Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kris Mineau, Administrator(860) 665-0174
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
505 Willard Ave
Building 3
Newington, CT 06111-2650
Phone: (860) 665-0174
Fax: (860) 667-2066
Street-level locationGet directions
Mailing address
505 Willard Ave
Newington, CT 06111-2650
Registry dates
- Enumerated
- 2006-07-16
- Last updated
- 2007-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.