Active NPI
Patrick Joseph Moriarty, LO.
- Optician
- Madison, CT
National Provider Identifier
1083791495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 001475
- Practice address
- 59 Bradley Rd
Madison, CT 06443-2632 - Phone
- (203) 245-4465
- Fax
- (203) 245-6996
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 001475 | CT | Primary |
Addresses
Primary practice location
59 Bradley Rd
Madison, CT 06443-2632
Mailing address
59 Bradley Rd.
Madison, CT 06443-2632
Phone (203) 245-4465
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 |
|---|---|---|---|
| 001475 | CT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Optical | Optician | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optician
- Madison, CT
- NPI 1689841231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083791495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 BRADLEY RD.",
"city": "MADISON",
"state": "CT",
"postal_code": "064432632",
"telephone_number": "203-245-4465",
"fax_number": "203-245-6996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 BRADLEY RD",
"city": "MADISON",
"state": "CT",
"postal_code": "064432632",
"telephone_number": "203-245-4465",
"fax_number": "203-245-6996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORIARTY",
"first_name": "PATRICK",
"middle_name": "JOSEPH",
"credential": "LO.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CT",
"license": "001475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, CT
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.