Active NPI
Jonathan Lindberg
- Optician
- Plainville, CT
National Provider Identifier
1285019661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- CT1106
- Practice address
- 28 East St
Plainville, CT 06062-2309 - Phone
- (860) 793-9378
- Fax
- (860) 793-9378
- NPI assigned
- Jul 27, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | CT1106 | CT | Primary |
Addresses
Primary practice location
28 East St
Plainville, CT 06062-2309
Mailing address
28 East St
Plainville, CT 06062-2309
Phone (860) 793-9378
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
| License | State | Type | Specialty |
|---|---|---|---|
| CT1106 | CT | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plainville Optical | Optician | Past | Accepting new patients |
| Plainville Optometrics LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Optometrist
- Plainville, CT
- NPI 1659663615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437955200000",
"number": "1285019661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 EAST ST",
"city": "PLAINVILLE",
"state": "CT",
"postal_code": "060622309",
"telephone_number": "860-793-9378",
"fax_number": "860-793-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 EAST ST",
"city": "PLAINVILLE",
"state": "CT",
"postal_code": "060622309",
"telephone_number": "860-793-9378",
"fax_number": "860-793-9378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDBERG",
"first_name": "JONATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-27",
"last_updated": "2015-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CT",
"license": "CT1106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainville, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.