Active NPI
Marcee Gail Eckert, LO
- Optician
- Waterford, CT
National Provider Identifier
1376300020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1282
- Practice address
- 155 Waterford Pkwy N
Waterford, CT 06385-1208 - Phone
- (860) 437-3748
- NPI assigned
- Feb 29, 2024
- Sex
- Female
- 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 | 1282 | CT | Primary |
Addresses
Primary practice location
155 Waterford Pkwy N
Waterford, CT 06385-1208
Mailing address
27A Plains Rd Apt 12
Essex, CT 06426-1568
Phone (860) 304-6439
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 |
|---|---|---|---|
| 1282 | CT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1376300020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27A PLAINS RD APT 12",
"city": "ESSEX",
"state": "CT",
"postal_code": "064261568",
"telephone_number": "860-304-6439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 WATERFORD PKWY N",
"city": "WATERFORD",
"state": "CT",
"postal_code": "063851208",
"telephone_number": "860-437-3748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKERT",
"first_name": "MARCEE",
"middle_name": "GAIL",
"credential": "LO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-29",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CT",
"license": "1282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.