Active NPI
Erica Yorgensen
- Optician
- Norwich, CT
National Provider Identifier
1013365238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1569
- Practice address
- 220 Salem Tpke
Norwich, CT 06360-6455 - Phone
- (860) 887-6696
- NPI assigned
- May 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1569 | CT | Primary |
Addresses
Primary practice location
220 Salem Tpke
Norwich, CT 06360-6455
Mailing address
220 Salem Tpke
Norwich, CT 06360-6455
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1569 | CT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464307200000",
"number": "1013365238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 SALEM TPKE",
"city": "NORWICH",
"state": "CT",
"postal_code": "063606455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 SALEM TPKE",
"city": "NORWICH",
"state": "CT",
"postal_code": "063606455",
"telephone_number": "860-887-6696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YORGENSEN",
"first_name": "ERICA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-27",
"last_updated": "2016-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CT",
"license": "1569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.