Active NPI
Richard J. Synkoski
- Eyewear Supplier
- Worcester, MA
National Provider Identifier
1124205711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 2721
- Legal business name
- RICHARD J. SYNKOSKI
- Practice address
- 390 Main St
Suite 618
Worcester, MA 01608-2583 - Phone
- (508) 752-6081
- Fax
- (508) 752-0303
- NPI assigned
- Jan 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard J. Synkoski, O.D.
- Title
- Owner
- Phone
- (508) 752-6081
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 2721 | MA | Primary |
Addresses
Primary practice location
390 Main St
Suite 618
Worcester, MA 01608-2583
Mailing address
390 Main St
Suite 618
Worcester, MA 01608-2583
Phone (508) 752-6081
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306824768 | Other | INDIVIDUAL NPI | |
| 0334766 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
390 Main St
Ste 618
Worcester, MA 01608
Phone (508) 752-6081
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Worcester, MA
- NPI 1306824768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201219200000",
"number": "1124205711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 MAIN ST",
"address_2": "SUITE 618",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016082583",
"telephone_number": "508-752-6081",
"fax_number": "508-752-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 MAIN ST",
"address_2": "SUITE 618",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016082583",
"telephone_number": "508-752-6081",
"fax_number": "508-752-0303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD J. SYNKOSKI",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-25",
"last_updated": "2008-01-25",
"status": "A",
"authorized_official_last_name": "SYNKOSKI",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "508-752-6081",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "MA",
"license": "2721",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1306824768",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0334766",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.