Active NPI
Francisco John Pimentel, O.D.
- Optometrist
- Wallingford, CT
National Provider Identifier
1114087855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 000686
- Practice address
- 91 S Main St
Wallingford, CT 06492-4203 - Phone
- (203) 265-5152
- Fax
- (203) 265-1562
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 000686 | CT | Primary |
Addresses
Primary practice location
91 S Main St
Wallingford, CT 06492-4203
Mailing address
582 N Main St
Wallingford, CT 06492-3213
Phone (203) 265-6089
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000686 | Other | CT | STATE LICENSE NUMBER |
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 |
|---|---|---|---|
| 000686 | CT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wallingford Eye Care Center P.C. | Optometrist | Past | Accepting new patients |
| Richard a Fichman MD PC | Past | Accepting new patients |
Organizations & group practices 2
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
- Manchester, CT
- NPI 1053591214
-
- Optometrist
- Wallingford, CT
- NPI 1053521419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114087855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "582 N MAIN ST",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064923213",
"telephone_number": "203-265-6089",
"fax_number": "203-284-8040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 S MAIN ST",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064924203",
"telephone_number": "203-265-5152",
"fax_number": "203-265-1562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIMENTEL",
"first_name": "FRANCISCO",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "000686",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "000686",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wallingford, 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.