NPIMap

Organization Active NPI

Robert John Kish Optics Unlimited LLC

  • Point of Service
  • Groton, CT
National Provider Identifier
1477002525
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
797 Issued in CT
Legal business name
ROBERT JOHN KISH OPTICS UNLIMITED LLC
Practice address
748 Long Hill Rd
Groton, CT 06340-4273
Phone
(860) 448-3937
Fax
(860) 449-0343
NPI assigned
Sep 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Authorized official

Name
Dr. Robert John Kish, O.D.
Title
Owner
Phone
(860) 448-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 797 CT Primary

Addresses

Primary practice location

748 Long Hill Rd
Groton, CT 06340-4273

Mailing address

748 Long Hill Rd
Groton, CT 06340-4273
Phone (860) 448-3937

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1477002525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 LONG HILL RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404273",
            "telephone_number": "860-448-3937",
            "fax_number": "860-449-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 LONG HILL RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404273",
            "telephone_number": "860-448-3937",
            "fax_number": "860-449-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT JOHN KISH OPTICS UNLIMITED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "KISH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-448-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CT",
            "license": "797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.