Organization Active NPI

Sanborn Optometric Associates

  • Health Service Clinic/Center
  • Waterford, CT
National Provider Identifier
1467815126
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
2879 Issued in CT
Legal business name
SANBORN OPTOMETRIC ASSOCIATES
Practice address
900 Hartford-New London Turnpike
Waterford, CT 06385
Phone
(860) 443-3178
NPI assigned
Mar 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
James Sanborn, O.D.
Title
Optometrist
Phone
(617) 756-0891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 2879 CT Primary

Addresses

Primary practice location

900 Hartford-New London Turnpike
Waterford, CT 06385

Mailing address

216 Iron St
Ledyard, CT 06339-1524
Phone (617) 756-0891

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1467815126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 IRON ST",
            "city": "LEDYARD",
            "state": "CT",
            "postal_code": "063391524",
            "telephone_number": "617-756-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HARTFORD-NEW LONDON TURNPIKE",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "06385",
            "telephone_number": "860-443-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANBORN OPTOMETRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "SANBORN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "617-756-0891",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CT",
            "license": "2879",
            "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 Mar 31, 2016; 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.