NPIMap

Organization Active NPI

Leonard Optician Inc.,

  • Hearing Instrument Specialist
  • Orange, MA
National Provider Identifier
1093942641
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
79 Issued in MA
Legal business name
LEONARD OPTICIAN INC.,
Practice address
119 New Athol Rd
Orange, MA 01364-9603
Phone
(978) 249-9033
Fax
(978) 249-9020
NPI assigned
Jun 22, 2009
Last updated
Jun 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Authorized official

Name
Mr. Douglas DupellNPI 1225288095
Title
President
Phone
(978) 249-9033

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
Hearing Instrument Specialist 237700000X 79 MA Primary

Addresses

Primary practice location

119 New Athol Rd
Orange, MA 01364-9603

Mailing address

119 New Athol Rd
Orange, MA 01364-9603
Phone (978) 249-9033

Other identifiers 1

IdentifierTypeStateIssuer
9737651MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Leonard Optician Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

119 New Athol Rd
Orange, MA 01364
Phone (978) 249-9033

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": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1093942641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 NEW ATHOL RD",
            "city": "ORANGE",
            "state": "MA",
            "postal_code": "013649603",
            "telephone_number": "978-249-9033",
            "fax_number": "978-249-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 NEW ATHOL RD",
            "city": "ORANGE",
            "state": "MA",
            "postal_code": "013649603",
            "telephone_number": "978-249-9033",
            "fax_number": "978-249-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD OPTICIAN INC.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "DUPELL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-249-9033",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MA",
            "license": "79",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9737651",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.