Individual provider Active NPI

Maria D'Amore, LICENSED OPTICIAN

  • Optician
  • Southington, CT
National Provider Identifier
1093693194
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
001269 Issued in CT
Practice address
318 N Main St Ste 2
Southington, CT 06489-2555
Phone
(860) 621-0560
Fax
(860) 609-6005
NPI assigned
Aug 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 001269 CT Primary

Addresses

Primary practice location

318 N Main St Ste 2
Southington, CT 06489-2555

Mailing address

318 N Main St Ste 2
Southington, CT 06489-2555
Phone (860) 621-4412

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

LicenseStateTypeSpecialty
001269CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southington Eye Associates, P.C. Optician CurrentSince Sep 3, 2025 Accepting new patients

Locations

318 N Main St
Ste 2
Southington, CT 06489
Phone (860) 620-7748

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.

NPI Registry JSON

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1093693194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 N MAIN ST STE 2",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892555",
            "telephone_number": "860-621-4412",
            "fax_number": "860-609-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 N MAIN ST STE 2",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892555",
            "telephone_number": "860-621-0560",
            "fax_number": "860-609-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMORE",
        "first_name": "MARIA",
        "credential": "LICENSED OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "001269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.