Active NPI
Conrad W. Kasack, Inc
- Eyewear Supplier
- Danbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 001268
- Legal business name
- CONRAD W. KASACK, INC
- Practice address
- 16 West St
Danbury, CT 06810-7841 - Phone
- (203) 743-3826
- NPI assigned
- Jan 11, 2007
- Last updated
- Mar 20, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dominick Charles Volpe III
- Title
- President Optician
- Phone
- (203) 743-3826
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 001268 | CT | Primary |
| Optician | 156FX1800X | 001268 | CT |
Addresses
Primary practice location
16 West St
Danbury, CT 06810-7841
Mailing address
16 West St
Danbury, CT 06810-7841
Phone (203) 743-3826
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004049086 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930084006 | CT | DME Supplier - Optician | 9032236864 | Practice locations: Danbury, CT |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Conrad W Kasack Inc | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Prosthetics Cataract Lenses | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
16 West St
Danbury, CT 06810
Phone (203) 743-3826
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optician
- Danbury, CT
- NPI 1497141436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426809600000",
"number": "1023168325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 WEST ST",
"city": "DANBURY",
"state": "CT",
"postal_code": "068107841",
"telephone_number": "203-743-3826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 WEST ST",
"city": "DANBURY",
"state": "CT",
"postal_code": "068107841",
"telephone_number": "203-743-3826"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONRAD W. KASACK, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2015-03-20",
"status": "A",
"authorized_official_last_name": "VOLPE",
"authorized_official_first_name": "DOMINICK",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "PRESIDENT OPTICIAN",
"authorized_official_telephone_number": "203-743-3826",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "CT",
"license": "001268",
"primary": true
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CT",
"license": "001268",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004049086",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.