Active NPI
Parklane Opticians of Fairfield,Inc
- Optician
- Fairfield, CT
National Provider Identifier
1467560524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 001234
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 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 DirectoryLocations
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.