Active NPI
Siobhan Burns, LICENSED OPTICIAN
- Optician
- New London, CT
National Provider Identifier
1134547706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1604
- Practice address
- 74 State St
New London, CT 06320-6398 - Phone
- (860) 501-0611
- NPI assigned
- Apr 1, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 1604 | CT | Primary |
Addresses
Primary practice location
74 State St
New London, CT 06320-6398
Mailing address
82 Crown Knoll CT
#157
Groton, CT 06340-6293
Phone (860) 501-0611
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396310400000",
"number": "1134547706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 CROWN KNOLL CT",
"address_2": "#157",
"city": "GROTON",
"state": "CT",
"postal_code": "063406293",
"telephone_number": "860-501-0611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 STATE ST",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063206398",
"telephone_number": "860-501-0611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "SIOBHAN",
"credential": "LICENSED OPTICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-01",
"last_updated": "2014-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CT",
"license": "1604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.