Excel-Lentes, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

1625 Issued in CT

Legal business name

EXCEL-LENTES, LLC

Doing business as

Rivard Opticians

Practice address

323 Franklin Ave
Hartford, CT 06114-1851

Phone

(860) 296-6826

NPI assigned

Nov 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Brendan WalshNPI 1427114222

Title

Licensed Optician, Owner

Phone

(860) 296-6826

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rivard Opticians Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These 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

Locations

Practitioners 2

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.

• Brendan Robert Walsh, LICENSED OPTICIAN

  • Optician
  • Hartford, CT
  • NPI 1427114222
  NPD Authorized official
• Melbin Yolanda Velasco, LICENSED OPTICIAN

  • Optician
  • Hartford, CT
  • NPI 1386039253
  NPD (past)

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1053592790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 FRANKLIN AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061141851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 FRANKLIN AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061141851",
            "telephone_number": "860-296-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL-LENTES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_title_or_position": "LICENSED OPTICIAN, OWNER",
        "authorized_official_telephone_number": "860-296-6826",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CT",
            "license": "1625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004209369",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rivard Opticians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Hartford, CT
• Providers in Hartford, CT by specialty
• Eyewear Supplier in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.