NPIMap

Organization Active NPI

The Eyeglass Lass LLC

  • Eyewear Supplier
  • New London, CT
National Provider Identifier
1083020689
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
001744 Issued in CT
Legal business name
THE EYEGLASS LASS LLC
Practice address
277 State St
New London, CT 06320-6312
Phone
(860) 574-9196
NPI assigned
Jul 3, 2014
Last updated
Jul 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Authorized official

Name
Siobhan BurnsNPI 1134547706
Title
Owner/Licensed Optician
Phone
(860) 501-0611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 001744 CT Primary

Addresses

Primary practice location

277 State St
New London, CT 06320-6312

Mailing address

277 State St
New London, CT 06320-6312
Phone (860) 574-9196

National Provider Directory

National Provider Directory

Locations

277 State St
New London, CT 06320
Phone (860) 574-9196

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1083020689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 STATE ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063206312",
            "telephone_number": "860-574-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 STATE ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063206312",
            "telephone_number": "860-574-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYEGLASS LASS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "SIOBHAN",
        "authorized_official_title_or_position": "OWNER/LICENSED OPTICIAN",
        "authorized_official_telephone_number": "860-501-0611"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CT",
            "license": "001744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.