Marshall Optical

Primary specialty

OpticianTaxonomy code 156FX1800X

License

00626 Issued in CT

Legal business name

MARSHALL OPTICAL

Practice address

881 New Harwinton Road
Torrington, CT 06790-7208

Phone

(860) 489-8999

Fax

(860) 626-8117

NPI assigned

Mar 13, 2008

Last updated

Mar 13, 2008By 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. Clifford William Marshall, LO LICENSED OPTICIAN

Title

Owner

Phone

(860) 489-8999

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1356512719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 NEW HARWINTON ROAD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067907208",
            "telephone_number": "860-489-8999",
            "fax_number": "860-626-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 NEW HARWINTON ROAD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067907208",
            "telephone_number": "860-489-8999",
            "fax_number": "860-626-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-489-8999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LO LICENSED OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "00626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "100000626CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "117159",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Seymour Brooker Memorial Center for Children's Therapy
• Alan Marinaccio
• Joel Andrew Markowski, M.D.
• Marriott LPC
• Oluwatosin Marriott, LPC
• Fidel Julio Martinez
• Camilla Marzella
• Burt M Mashburn, M.D.
• Ariana Masi-Karpuc
• David Masotta, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.