Organization Active NPI

Park Lane Eye Care, Inc

  • Eyewear Supplier
  • Milford, CT
National Provider Identifier
1013193770
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
0454420001 Issued in CT
Legal business name
PARK LANE EYE CARE, INC
Practice address
50 Broad St
Milford, CT 06460-3358
Phone
(203) 878-8260
NPI assigned
Jan 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Dr. James Roberts, OD
Title
President
Phone
(203) 878-8260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 0454420001 CT Primary

Addresses

Primary practice location

50 Broad St
Milford, CT 06460-3358

Mailing address

50 Broad St
Milford, CT 06460-3358
Phone (203) 878-8260

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1013193770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BROAD ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603358",
            "telephone_number": "203-878-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BROAD ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603358",
            "telephone_number": "203-878-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK LANE EYE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-12",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-878-8260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CT",
            "license": "0454420001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.