Individual provider Active NPI

Joan Marie Lorio

  • Optician
  • East Setauket, NY
National Provider Identifier
1003322363
Registry record updated Dec 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
009849-1
Practice address
3990 Nesconset Hwy
East Setauket, NY 11733-3334
Phone
(631) 474-3808
Fax
(631) 474-3815
NPI assigned
Dec 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 009849-1 Primary
Optician 156FX1800X 009849-1 NY

Addresses

Primary practice location

3990 Nesconset Hwy
East Setauket, NY 11733-3334

Mailing address

3990 Nesconset Hwy
East Setauket, NY 11733-3334
Phone (631) 474-3808

Other identifiers 1

IdentifierTypeStateIssuer
009849-1MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
009849-1NYMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513900800000",
    "number": "1003322363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 NESCONSET HWY",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333334",
            "telephone_number": "631-474-3808",
            "fax_number": "631-474-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 NESCONSET HWY",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333334",
            "telephone_number": "631-474-3808",
            "fax_number": "631-474-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORIO",
        "first_name": "JOAN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-22",
        "last_updated": "2017-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": "009849-1",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "009849-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009849-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2017; 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.