Individual provider Active NPI

Kimberly A Lajoie-Ray, L.O.

  • Optician
  • West Hartford, CT
National Provider Identifier
1053711226
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
001608 Issued in CT
Practice address
1007 Farmington Ave
Suite 16
West Hartford, CT 06107-2133
Phone
(860) 232-7616
Fax
(860) 233-4565
NPI assigned
Aug 25, 2014
Last updated
Aug 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 001608 CT Primary

Addresses

Primary practice location

1007 Farmington Ave
Suite 16
West Hartford, CT 06107-2133

Mailing address

75 Ludlow Rd
Windsor, CT 06095-3635
Phone (860) 219-9947

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
001608CTMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Ray of Sunshine Optical,LLC PastSince Sep 15, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1053711226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 LUDLOW RD",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060953635",
            "telephone_number": "860-219-9947",
            "fax_number": "860-219-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 FARMINGTON AVE",
            "address_2": "SUITE 16",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072133",
            "telephone_number": "860-232-7616",
            "fax_number": "860-233-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAJOIE-RAY",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "L.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "001608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.