Family Opticians LTD

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

FAMILY OPTICIANS LTD

Practice address

490 Main St
Melrose, MA 02176-3841

Phone

(781) 665-8828

Fax

(781) 665-8828

NPI assigned

Feb 22, 2007

Last updated

Sep 10, 2009By 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. Richard Incerto Jr., R.D.O

Title

Owner Optician

Phone

(780) 665-8828

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1447385323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763841",
            "telephone_number": "781-665-8828",
            "fax_number": "781-665-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763841",
            "telephone_number": "781-665-8828",
            "fax_number": "781-665-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY OPTICIANS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "INCERTO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER OPTICIAN",
        "authorized_official_telephone_number": "780-665-8828",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "R.D.O"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110076265/A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.