Active NPI
Sanborn Optometric Associates
- Health Service Clinic/Center
- Waterford, CT
National Provider Identifier
1467815126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 2879
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.