Organization Active NPI

Mt. Carmel Opticians, Inc

  • Optician
  • Hamden, CT
National Provider Identifier
1063068096
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
MT. CARMEL OPTICIANS, INC
Practice address
2301 State St
Hamden, CT 06517-3721
Phone
(203) 288-4905
Fax
(203) 288-4905
NPI assigned
Aug 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Authorized official

Name
Mr. Edward Louis Beaudette, L.O.NPI 1164643797
Title
President
Phone
(203) 288-4905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

2301 State St
Hamden, CT 06517-3721

Mailing address

2301 State St
Hamden, CT 06517-3721
Phone (203) 288-4905

National Provider Directory

National Provider Directory
Tax ID family
Mt Carmel Opticians Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2301 State St
Hamden, CT 06517
Phone (203) 288-4905

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1063068096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 STATE ST",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065173721",
            "telephone_number": "203-288-4905",
            "fax_number": "203-288-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 STATE ST",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065173721",
            "telephone_number": "203-288-4905",
            "fax_number": "203-288-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. CARMEL OPTICIANS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "BEAUDETTE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-288-4905",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.O."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.