Individual provider Active NPI

Gregory Alan Esbensen, OPTICIAN

  • Optician
  • Wilmington, DE
National Provider Identifier
1013178664
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Practice address
616 N Market St
Wilmington Optical
Wilmington, DE 19801-3007
Phone
(302) 654-0530
Fax
(302) 654-7425
NPI assigned
Jun 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X Primary

Addresses

Primary practice location

616 N Market St
Wilmington Optical
Wilmington, DE 19801-3007

Mailing address

616 N Market St
Wilmington Optical
Wilmington, DE 19801-3007
Phone (302) 654-0530

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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1013178664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 N MARKET ST",
            "address_2": "WILMINGTON OPTICAL",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198013007",
            "telephone_number": "302-654-0530",
            "fax_number": "302-654-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 N MARKET ST",
            "address_2": "WILMINGTON OPTICAL",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198013007",
            "telephone_number": "302-654-0530",
            "fax_number": "302-654-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESBENSEN",
        "first_name": "GREGORY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.