Fredric I. Smilen O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2279 Issued in CT

Legal business name

FREDRIC I. SMILEN O.D., P.C.

Practice address

100 Greyrock PL
Stamford, CT 06901-3118

Phone

(203) 348-3937

NPI assigned

Oct 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Fredric I SmilenNPI 1063555316

Title

Medical Director

Phone

(203) 348-3937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fredric Ivan Smilen, O.D.

  • Optometrist
  • Stamford, CT
  • NPI 1063555316
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1336458868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GREYROCK PL",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069013118",
            "telephone_number": "203-348-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GREYROCK PL",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069013118",
            "telephone_number": "203-348-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDRIC I. SMILEN O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "SMILEN",
        "authorized_official_first_name": "FREDRIC",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "203-348-3937",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Moura Franco, APRN
• Linda Francois, LPN
• Michael Francois, M.D.
• Frank a. Sessa, D.D.S., P.C.
• Christopher George Frechette, MSW, LCSW
• Kayla Freedman
• Leslie Raymond Freedman, PH.D.
• Jay Freilich, M.D.
• Marilee L Freitas, M.D.
• Nicole Frey, DPT

• Optometrist in Stamford, CT
• Providers in Stamford, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.