Alfredo A Angeles Puriaman, LO
Individual provider Active NPI Optician · Stratford, CT
NPI 1013428754 · NPPES record last updated Jan 18, 2025
Key facts
- NPI
- 1013428754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- License
- 1752 (CT)
- Practice address
- 150 Barnum Avenue Cutoff
Stratford, CT 06614-5111 - Phone
- (203) 502-7637
- NPI assigned
- Oct 21, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician |
156FX1800X | 1752 | CT | Yes |
Addresses
Primary practice location
150 Barnum Avenue Cutoff
Stratford, CT 06614-5111
Mailing address
1201 Boston Post Rd
Milford, CT 06460-2703
Other providers in Stratford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.