Active NPI
Marco A Rubio, OPTICIAN
- Optometric Technician
- East Windsor, CT
National Provider Identifier
1134415896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometric Technician
- License
- 001627
- Practice address
- 69 Prospect Hill Rd
East Windsor, CT 06088-3600 - Phone
- (860) 623-7910
- Fax
- (860) 627-6433
- NPI assigned
- Jun 21, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometric Technician | 156FX1202X | 001627 | CT | Primary |
Addresses
Primary practice location
69 Prospect Hill Rd
East Windsor, CT 06088-3600
Mailing address
69 Prospect Hill Rd
East Windsor, CT 06088-3600
Phone (860) 623-7910
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001627 | CT | MD | Optometric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308614400000",
"number": "1134415896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 PROSPECT HILL RD",
"city": "EAST WINDSOR",
"state": "CT",
"postal_code": "060883600",
"telephone_number": "860-623-7910",
"fax_number": "860-627-6433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 PROSPECT HILL RD",
"city": "EAST WINDSOR",
"state": "CT",
"postal_code": "060883600",
"telephone_number": "860-623-7910",
"fax_number": "860-627-6433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIO",
"first_name": "MARCO",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "OPTICIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-21",
"last_updated": "2011-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1202X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optometric Technician",
"state": "CT",
"license": "001627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.