Active NPI
Russell Fritz Jr., LO
- Optician
- Hamden, CT
National Provider Identifier
1316321565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 000687
- Practice address
- 2313 Whitney Ave.
Suite 1D
Hamden, CT 06518-3504 - Phone
- (203) 248-8224
- Fax
- (203) 248-8628
- NPI assigned
- Jul 17, 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 | 000687 | CT | Primary |
Addresses
Primary practice location
2313 Whitney Ave.
Suite 1D
Hamden, CT 06518-3504
Mailing address
2313 Whitney Ave.
Suite 1D
Hamden, CT 06518-3504
Phone (203) 248-8224
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 |
|---|---|---|---|
| 000687 | CT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437091200000",
"number": "1316321565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2313 WHITNEY AVE.",
"address_2": "SUITE 1D",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183504",
"telephone_number": "203-248-8224",
"fax_number": "203-248-8628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2313 WHITNEY AVE.",
"address_2": "SUITE 1D",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183504",
"telephone_number": "203-248-8224",
"fax_number": "203-248-8628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRITZ",
"first_name": "RUSSELL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-17",
"last_updated": "2015-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CT",
"license": "000687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.