Organization Active NPI

Lowell Optical Company

  • Durable Medical Equipment & Medical Supplies
  • Lowell, MA
National Provider Identifier
1194810754
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
093020 Issued in MA
Legal business name
LOWELL OPTICAL COMPANY
Practice address
11 Central Street
Lowell, MA 01852-1905
Phone
(978) 458-4546
Fax
(978) 934-9264
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Merna Victor
Title
Manager
Phone
(978) 452-9302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 093020 MA Primary

Addresses

Primary practice location

11 Central Street
Lowell, MA 01852-1905

Mailing address

11 Central Street
Lowell, MA 01852-1905
Phone (978) 458-4546

Other identifiers 1

IdentifierTypeStateIssuer
1520393MedicaidMA

National Provider Directory

National Provider Directory

Locations

11 Central St
Lowell, MA 01852
Phone (978) 458-4546

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194810754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CENTRAL STREET",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521905",
            "telephone_number": "978-458-4546",
            "fax_number": "978-934-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CENTRAL STREET",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521905",
            "telephone_number": "978-458-4546",
            "fax_number": "978-934-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWELL OPTICAL COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VICTOR",
        "authorized_official_first_name": "MERNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "978-452-9302",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": "093020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1520393",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.