Active NPI
William B Davies, L.O.
- Optician
- Darien, CT
National Provider Identifier
1023233285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- LO 720
- Practice address
- 553 Post Rd
Darien, CT 06820-3609 - Phone
- (203) 655-9571
- Fax
- (203) 655-0774
- NPI assigned
- Apr 14, 2007
- Sex
- Male
- 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 | LO 720 | CT | Primary |
Addresses
Primary practice location
553 Post Rd
Darien, CT 06820-3609
Mailing address
553 Post Rd
Darien, CT 06820-3609
Phone (203) 655-9571
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215103320 | Other | CT | SUPPLIER NPI |
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 |
|---|---|---|---|
| LO 720 | CT | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236038400000",
"number": "1023233285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "553 POST RD",
"city": "DARIEN",
"state": "CT",
"postal_code": "068203609",
"telephone_number": "203-655-9571",
"fax_number": "203-655-0774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "553 POST RD",
"city": "DARIEN",
"state": "CT",
"postal_code": "068203609",
"telephone_number": "203-655-9571",
"fax_number": "203-655-0774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIES",
"first_name": "WILLIAM",
"middle_name": "B",
"credential": "L.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-14",
"last_updated": "2009-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CT",
"license": "LO 720",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPPLIER NPI",
"identifier": "1215103320",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Darien, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.