Active NPI
Maria D'Amore, LICENSED OPTICIAN
- Optician
- Southington, CT
National Provider Identifier
1093693194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 001269
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 001269 | CT | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southington Eye Associates, P.C. | Optician | Current | 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.