Individual provider Active NPI

Heather Hall Mazzaferro, L.O.

  • Optician
  • Torrington, CT
National Provider Identifier
1003574773
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Practice address
333 Kennedy Dr Ste L202
Torrington, CT 06790-7201
Phone
(860) 482-9399
Fax
(860) 482-0477
NPI assigned
Nov 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contact Lens Fitter 156FC0801X
Optician 156FX1800X Primary

Addresses

Primary practice location

333 Kennedy Dr Ste L202
Torrington, CT 06790-7201

Mailing address

59 Cook St Apt 7
Winsted, CT 06098-1439
Phone (860) 459-6202

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

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1003574773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 COOK ST APT 7",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "060981439",
            "telephone_number": "860-459-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 KENNEDY DR STE L202",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067907201",
            "telephone_number": "860-482-9399",
            "fax_number": "860-482-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZAFERRO",
        "first_name": "HEATHER",
        "middle_name": "HALL",
        "name_prefix": "Mrs.",
        "credential": "L.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FC0801X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.