Professional Opticians Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

L0679 Issued in CT

Legal business name

PROFESSIONAL OPTICIANS INC

Practice address

125 Boston Post Road
Waterford, CT 06385

Phone

(860) 442-1167

Fax

(860) 443-4118

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

William D Foreman, LO LICENSED OPTICIAN

Title

President

Phone

(860) 442-1167

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Mary Christine Beaulieu, OD

  • Optometrist
  • Waterford, CT
  • NPI 1528126117
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1063571214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BOSTON POST ROAD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "06385",
            "telephone_number": "860-442-1167",
            "fax_number": "860-443-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BOSTON POST ROAD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "06385",
            "telephone_number": "860-442-1167",
            "fax_number": "860-443-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL OPTICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-442-1167",
        "authorized_official_credential": "LO LICENSED OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "L0679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "100000679CT01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PO CHI Lam Clinic Inc
• Corey Podbielski
• Valerie Popkin, M.D.
• Professional Eyecare, LLC
• Professional Optician Management Services Inc
• Emma Punsalan, OD
• Edward P. Raccio, D.M.D.
• Khalil Keefe Rahman
• Meghana Rao Brito, M.D.
• Steven M Rapoport, OD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.