NPIMap

Organization Active NPI

I.C.U. Inc.

Doing business as Parrelli Optical

  • Optician
  • W Roxbury, MA
National Provider Identifier
1124219324
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
I.C.U. INC.
Doing business as
Parrelli Optical
Practice address
2034 Centre St
W Roxbury, MA 02132
Phone
(617) 327-0141
Fax
(617) 327-0177
NPI assigned
Aug 5, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Richard Jaffe, OPTICIAN
Title
Owner of Store
Phone
(617) 327-0141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X MA Primary

Addresses

Primary practice location

2034 Centre St
W Roxbury, MA 02132

Mailing address

2034 Centre St
W Roxbury, MA 02132
Phone (617) 327-0141

Other names 1

  • Parrelli Optical Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124219324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 CENTRE ST",
            "city": "W ROXBURY",
            "state": "MA",
            "postal_code": "02132",
            "telephone_number": "617-327-0141",
            "fax_number": "617-327-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 CENTRE ST",
            "city": "W ROXBURY",
            "state": "MA",
            "postal_code": "02132",
            "telephone_number": "617-327-0141",
            "fax_number": "617-327-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I.C.U. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER OF STORE",
        "authorized_official_telephone_number": "617-327-0141",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parrelli Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in W Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.