Organization Active NPI

Parklane Opticians of Fairfield,Inc

  • Optician
  • Fairfield, CT
National Provider Identifier
1467560524
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
001234 Issued in CT
Legal business name
PARKLANE OPTICIANS OF FAIRFIELD,INC
Practice address
1430 Post Road
Fairfield, CT 06824
Phone
(203) 259-2268
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Jeri Logun
Title
Vice President
Phone
(203) 259-2268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 001234 CT Primary

Addresses

Primary practice location

1430 Post Road
Fairfield, CT 06824

Mailing address

1430 Post Road
Fairfield, CT 06824

National Provider Directory

National Provider Directory

Locations

1430 Post Rd
Fairfield, CT 06824
Phone (203) 259-2268

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1467560524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 POST ROAD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "06824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 POST ROAD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "06824",
            "telephone_number": "203-259-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKLANE OPTICIANS OF FAIRFIELD,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "LOGUN",
        "authorized_official_first_name": "JERI",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "203-259-2268"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "001234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.