Active NPI
Patricia Ann Horan, LICENSED OPTICIAN
- Optician
- North Dartmouth, MA
National Provider Identifier
1073726618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 4719
- Practice address
- 51 State Rd
North Dartmouth, MA 02747-3319 - Phone
- (508) 999-7779
- Fax
- (508) 910-2217
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | OP00285 | RI | |
| Optician | 156FX1800X | 4719 | MA | Primary |
Addresses
Primary practice location
51 State Rd
North Dartmouth, MA 02747-3319
Mailing address
51 State Rd
North Dartmouth, MA 02747-3319
Phone (508) 999-7779
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4719 | MA | MD | Mental Health Counselor |
| OP00285 | RI | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073726618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 STATE RD",
"city": "NORTH DARTMOUTH",
"state": "MA",
"postal_code": "027473319",
"telephone_number": "508-999-7779",
"fax_number": "508-910-2217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 STATE RD",
"city": "NORTH DARTMOUTH",
"state": "MA",
"postal_code": "027473319",
"telephone_number": "508-999-7779",
"fax_number": "508-910-2217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORAN",
"first_name": "PATRICIA",
"middle_name": "ANN",
"credential": "LICENSED OPTICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "RI",
"license": "OP00285",
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "MA",
"license": "4719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Dartmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.