Individual provider Active NPI

Grant Louis Colgary Jr., OPTICIAN

  • Optician
  • Morristown, NJ
National Provider Identifier
1114098217
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
D969 Issued in NJ
Practice address
261 James St
Suite 1B
Morristown, NJ 07960-6392
Phone
(973) 285-1566
Fax
(973) 285-4806
NPI assigned
Nov 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X D969 NJ Primary

Addresses

Primary practice location

261 James St
Suite 1B
Morristown, NJ 07960-6392

Mailing address

261 James St
Suite 1B
Morristown, NJ 07960-6392
Phone (973) 285-1566

Other names 1

  • Mrs. Florence Mary Colgary Professional name

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
D969NJMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114098217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 JAMES ST",
            "address_2": "SUITE 1B",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606392",
            "telephone_number": "973-285-1566",
            "fax_number": "973-285-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 JAMES ST",
            "address_2": "SUITE 1B",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606392",
            "telephone_number": "973-285-1566",
            "fax_number": "973-285-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLGARY",
        "first_name": "GRANT",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "D969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FLORENCE",
            "last_name": "COLGARY",
            "middle_name": "MARY",
            "prefix": "MRS.",
            "credential": "OPTICIAN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Morristown, NJ

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.

Verify at the official NPI Registry.