Organization Active NPI

Birchwood Optical

Doing business as Advanced Optical

  • Eyewear Supplier
  • Cheshire, CT
National Provider Identifier
1073939302
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
BIRCHWOOD OPTICAL
Doing business as
Advanced Optical
Practice address
325 Highland Ave
Cheshire, CT 06410-2548
Phone
(203) 271-3103
Fax
(203) 272-1786
NPI assigned
Mar 11, 2014
Last updated
Mar 11, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVANCED EYE PHYSICIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Authorized official

Name
Ms. Jennifer Page
Title
Practice Manager
Phone
(203) 235-2511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

325 Highland Ave
Cheshire, CT 06410-2548

Mailing address

546 S Broad St
Meriden, CT 06450-6600
Phone (203) 235-2511

Other names 1

  • Advanced Optical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eye Physicians of CTRL2 organizations share this tax ID, including this one
Part of
Eye Physicians of CTRL

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1073939302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 S BROAD ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506600",
            "telephone_number": "203-235-2511",
            "fax_number": "203-639-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 HIGHLAND AVE",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102548",
            "telephone_number": "203-271-3103",
            "fax_number": "203-272-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCHWOOD OPTICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED EYE PHYSICIANS",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "203-235-2511",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheshire, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.