Active NPI
Laura Crane
- Optician
- Manchester, CT
National Provider Identifier
1316491855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1408
- Practice address
- 420 Buckland Hills Dr
Manchester, CT 06042-8755 - Phone
- (860) 644-1203
- NPI assigned
- Aug 13, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 1408 | CT | Primary |
Addresses
Primary practice location
420 Buckland Hills Dr
Manchester, CT 06042-8755
Mailing address
16 Vernon Ave Apt 4
Vernon, CT 06066-3693
Phone (860) 402-4144
Other names 1
- Laura Crane Holtman
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471046400000",
"number": "1316491855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 VERNON AVE APT 4",
"city": "VERNON",
"state": "CT",
"postal_code": "060663693",
"telephone_number": "860-402-4144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 BUCKLAND HILLS DR",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060428755",
"telephone_number": "860-644-1203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANE",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-13",
"last_updated": "2016-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CT",
"license": "1408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "HOLTMAN",
"middle_name": "CRANE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.