Mr Optical, LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

License

001565 Issued in CT

Legal business name

MR OPTICAL, LLC

Practice address

70 Mill River St
Stamford, CT 06902-3725

Phone

(203) 327-2020

Fax

(203) 327-3555

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael Mydlarz

Title

Optician

Phone

(203) 327-2020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043369135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MILL RIVER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023725",
            "telephone_number": "203-327-2020",
            "fax_number": "203-327-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MILL RIVER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023725",
            "telephone_number": "203-327-2020",
            "fax_number": "203-327-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MYDLARZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "203-327-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "001565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eve K Moskowitz, LCSW
• Robert Moskowitz, M.D.
• Nneka L Mowatt, DPT
• Larry Moy, M.D.
• Moyosore Paupau, LLC
• F Carl Mueller, M D
• Kenneth John Mufson, LCSW
• Janet Mui-Shindel, OT
• Mujer Virtuosa Ministries, Inc.
• Rajshree Ranjit Mulay, DMD

• Optician in Stamford, CT
• Providers in Stamford, CT by specialty
• Optician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.