Individual provider Active NPI

O'Neil Christopher Wright, LDO, ABOC, NCLEC

  • Optician
  • Dorchester, MA
National Provider Identifier
1104687706
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DOP6845 Issued in MA
Practice address
24 Sonoma St
Dorchester, MA 02121-2934
Phone
(617) 352-9588
NPI assigned
Jan 22, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X DOP6845 MA Primary

Addresses

Primary practice location

24 Sonoma St
Dorchester, MA 02121-2934

Mailing address

24 Sonoma St Apt 4
Dorchester, MA 02121-2934
Phone (857) 209-6010

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
DOP6845MAMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1104687706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SONOMA ST APT 4",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021212934",
            "telephone_number": "857-209-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SONOMA ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021212934",
            "telephone_number": "617-352-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "O'NEIL",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "LDO, ABOC, NCLEC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "DOP6845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.