NPIMap

Organization Active NPI

Concord -Imtrex Inc

  • Optician
  • Natick, MA
National Provider Identifier
1003039082
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
CONCORD -IMTREX INC
Practice address
1245 Worcester St
Natick, MA 01760-1515
Phone
(508) 651-9811
Fax
(508) 651-9814
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Svetlana Bogomolov, OPTICION
Title
President
Phone
(508) 651-9811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

1245 Worcester St
Natick, MA 01760-1515

Mailing address

1245 Worcester St
Natick, MA 01760-1515
Phone (508) 651-9811

Other names 1

  • Cohen's fashion optical Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003039082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WORCESTER ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601515",
            "telephone_number": "508-651-9811",
            "fax_number": "508-651-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WORCESTER ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601515",
            "telephone_number": "508-651-9811",
            "fax_number": "508-651-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD -IMTREX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOGOMOLOV",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-651-9811",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OPTICION"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cohen's fashion optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.