Individual provider Active NPI

Joseph J Kobierecki, R.D.O.

  • Optician
  • Milford, MA
National Provider Identifier
1124208475
Registry record updated Nov 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1438 Issued in MA
Practice address
138 S Main St
Milford, MA 01757-3272
Phone
(508) 478-3838
Fax
(508) 478-8127
NPI assigned
Nov 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 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 1438 MA Primary

Addresses

Primary practice location

138 S Main St
Milford, MA 01757-3272

Mailing address

PO Box 398
Milford, MA 01757-0398
Phone (508) 478-3838

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
1438MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph & Thomas Opticians Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1194134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194134400000",
    "number": "1124208475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017570398",
            "telephone_number": "508-478-3838",
            "fax_number": "508-478-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 S MAIN ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017573272",
            "telephone_number": "508-478-3838",
            "fax_number": "508-478-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBIERECKI",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "R.D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-04",
        "last_updated": "2007-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "1438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.