Individual provider Active NPI

William B Davies, L.O.

  • Optician
  • Darien, CT
National Provider Identifier
1023233285
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
LO 720 Issued in CT
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

Updated by the provider on Mar 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1215103320OtherCTSUPPLIER 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

LicenseStateTypeSpecialty
LO 720CTMDOptician

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.

Verify at the official NPI Registry.