Organization Active NPI

Optometric Associates of Danielson PC

  • Optometrist
  • Danielson, CT
National Provider Identifier
1033283197
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
000642 Issued in CT
Legal business name
OPTOMETRIC ASSOCIATES OF DANIELSON PC
Practice address
419 Main St
Danielson, CT 06239
Phone
(860) 774-8279
Fax
(860) 774-8279
NPI assigned
Nov 20, 2006
Last updated
Feb 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Dr. Cranston Archer Briggs, OD
Title
President Owner
Phone
(860) 774-8271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 000642 CT Primary

Addresses

Primary practice location

419 Main St
Danielson, CT 06239

Mailing address

PO Box 488
419 Main St
Danielson, CT 06239-0488
Phone (860) 774-8271

Other identifiers 2

IdentifierTypeStateIssuer
52868OtherCTDAVIS VISION
41199OtherCTSPECTARA

National Provider Directory

National Provider Directory

Locations

419 Main St
Danielson, CT 06239
Phone (860) 774-8271

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1033283197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "address_2": "419 MAIN ST",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "062390488",
            "telephone_number": "860-774-8271",
            "fax_number": "860-774-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 MAIN ST",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "06239",
            "telephone_number": "860-774-8279",
            "fax_number": "860-774-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC ASSOCIATES OF DANIELSON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "BRIGGS",
        "authorized_official_first_name": "CRANSTON",
        "authorized_official_middle_name": "ARCHER",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "860-774-8271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "000642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "52868",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTARA",
            "identifier": "41199",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danielson, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.