Organization Active NPI

Richard J. Synkoski

  • Eyewear Supplier
  • Worcester, MA
National Provider Identifier
1124205711
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
2721 Issued in MA
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

Updated by the provider on Jan 25, 2008

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.NPI 1306824768
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1306824768OtherINDIVIDUAL NPI
0334766MedicaidMA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.