Active NPI
Calvin S Price, O.D.
- Optometrist
- Windsor, CT
National Provider Identifier
1487656328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 000666
- Practice address
- 502 Windsor Ave
Windsor, CT 06095-4046 - Phone
- (860) 688-5303
- Fax
- (860) 688-5853
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 000666 | CT | Primary |
Addresses
Primary practice location
502 Windsor Ave
Windsor, CT 06095-4046
Mailing address
502 Windsor Ave
Windsor, CT 06095-4046
Phone (860) 688-5303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004023487 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000666 | CT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360195200000",
"number": "1487656328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 WINDSOR AVE",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060954046",
"telephone_number": "860-688-5303",
"fax_number": "860-688-5853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 WINDSOR AVE",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060954046",
"telephone_number": "860-688-5303",
"fax_number": "860-688-5853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "CALVIN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2013-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "000666",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004023487",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.