Active NPI
Grover Opticians
- Optician
- Stratford, CT
National Provider Identifier
1275761918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 001123
- Legal business name
- GROVER OPTICIANS
- Practice address
- 2505 Main St
Stratford, CT 06615-5839 - Phone
- (203) 378-2281
- Fax
- (203) 377-0233
- NPI assigned
- Jul 1, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian William Grover, L.O.
- Title
- Optician/Owner
- Phone
- (203) 378-2281
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 001123 | CT | Primary |
Addresses
Primary practice location
2505 Main St
Stratford, CT 06615-5839
Mailing address
2505 Main St
Stratford, CT 06615-5839
Phone (203) 378-2281
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1246406400000",
"number": "1275761918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 MAIN ST",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066155839",
"telephone_number": "203-378-2281",
"fax_number": "203-377-0233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 MAIN ST",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066155839",
"telephone_number": "203-378-2281",
"fax_number": "203-377-0233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROVER OPTICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-01",
"last_updated": "2009-07-01",
"status": "A",
"authorized_official_last_name": "GROVER",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "OPTICIAN/OWNER",
"authorized_official_telephone_number": "203-378-2281",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "L.O."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "CT",
"license": "001123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stratford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.