Concord Optical Company Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

CONCORD OPTICAL COMPANY INC

Practice address

80 Thoreau St
Concord, MA 01742-2458

Phone

(978) 369-6707

Fax

(978) 369-1880

NPI assigned

Jun 15, 2022

Last updated

Jun 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

George Bourque, LDO

Title

Owner/Optician

Phone

(978) 369-6707

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1013647759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 THOREAU ST",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422458",
            "telephone_number": "978-369-6707",
            "fax_number": "978-369-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 THOREAU ST",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422458",
            "telephone_number": "978-369-6707",
            "fax_number": "978-369-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD OPTICAL COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "BOURQUE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "978-369-6707",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Concord Ekg Associates
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• Concord OB/GYN Associates PC
• Concord Optical
• Concord Orthodontics PLLC (Heart Orthodontics)
• Concord Orthopedics, Inc
• Concord Pharmacy Inc (West Concord Pharmacy)
• Concord Plastic Surgery Inc
• Concord Primary Care,Inc

• Eyewear Supplier in Concord, MA
• Providers in Concord, MA by specialty
• Eyewear Supplier in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.