NPIMap

Organization Active NPI

I.B. Smith Opticians, Inc.

  • Optician
  • Worcester, MA
National Provider Identifier
1255536611
Registry record updated Oct 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1313 Issued in MA
Legal business name
I.B. SMITH OPTICIANS, INC.
Practice address
255 Park Ave
Worcester, MA 01609-1953
Phone
(508) 757-3442
NPI assigned
Jun 17, 2007
Last updated
Oct 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2007

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

Authorized official

Name
Mr. Thomas F. LavinNPI 1740302934
Title
President
Phone
(508) 757-3442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 1313 MA Primary

Addresses

Primary practice location

255 Park Ave
Worcester, MA 01609-1953

Mailing address

255 Park Ave
Worcester, MA 01609-1953
Phone (508) 757-3442

National Provider Directory

National Provider Directory

Locations

255 Park Ave
Ste 101
Worcester, MA 01609
Phone (508) 757-3442

Practitioners & affiliated clinicians

Practitioners 1

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": "1182038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193443200000",
    "number": "1255536611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 PARK AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091953",
            "telephone_number": "508-757-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PARK AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091953",
            "telephone_number": "508-757-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I.B. SMITH OPTICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-17",
        "last_updated": "2007-10-27",
        "status": "A",
        "authorized_official_last_name": "LAVIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-757-3442",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "1313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2007; 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.