Individual provider Active NPI

Kerry Bilski, RDO

  • Optician
  • Chicopee, MA
National Provider Identifier
1144845520
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
5818 Issued in MA
Practice address
33 Grove St
Chicopee, MA 01020-1816
Phone
(413) 592-1199
Fax
(413) 592-4951
NPI assigned
Jun 11, 2020
Last updated
Jun 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 5818 MA Primary

Addresses

Primary practice location

33 Grove St
Chicopee, MA 01020-1816

Mailing address

33 Grove St
Chicopee, MA 01020-1816
Phone (413) 592-1199

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
5818MAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
LKB, LLC Optician CurrentSince Jun 14, 2020 Accepting new patients
Thoren Optical & Safety Products, Inc. PastSince Jun 14, 2020 Accepting new patients

Locations

33 Grove St
Chicopee, MA 01020
Phone (413) 592-1199

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1144845520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 GROVE ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010201816",
            "telephone_number": "413-592-1199",
            "fax_number": "413-592-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 GROVE ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010201816",
            "telephone_number": "413-592-1199",
            "fax_number": "413-592-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILSKI",
        "first_name": "KERRY",
        "credential": "RDO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "5818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicopee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.