Walsh & Massari of Meriden Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

001151 Issued in CT

Legal business name

WALSH & MASSARI OF MERIDEN INC

Practice address

86 W Main St
Meriden, CT 06451-4111

Phone

(203) 235-1681

Fax

(203) 235-1682

NPI assigned

Oct 4, 2006

Last updated

Apr 6, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Douglas Howard Parker, L.O.NPI 1538293758

Title

Pres.

Phone

(203) 235-1681

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Douglas Howard Parker, L.O.

  • Optician
  • Meriden, CT
  • NPI 1538293758
  NPD (past) Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1306931415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 W MAIN ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064514111",
            "telephone_number": "203-235-1681",
            "fax_number": "203-235-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 W MAIN ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064514111",
            "telephone_number": "203-235-1681",
            "fax_number": "203-235-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALSH & MASSARI OF MERIDEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "203-235-1681",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.O."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "001151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004036638",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Marie Wagner, MFT
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• Walgreen Co (Walgreens #10003)
• Taylor Walker, LMSW-T
• Latoya Nicole Walters
• Rose-Ann Wanczyk-Karp, LCSW
• Kimberly Hsin- Wei Wang, COTA/L
• Shuai Wang
• Deborah Ward, RN

• Optician in Meriden, CT
• Providers in Meriden, CT by specialty
• Optician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.

Verify at the official NPI Registry.