NPIMap

Organization Active NPI

Plainville Optical

  • Eyewear Supplier
  • Plainville, CT
National Provider Identifier
1487788634
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
CT1106 Issued in CT
Legal business name
PLAINVILLE OPTICAL
Practice address
28 East St
Plainville, CT 06062-2309
Phone
(860) 793-9378
Fax
(860) 793-2494
NPI assigned
Mar 16, 2007
Last updated
Jul 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Jonathan LindbergNPI 1285019661
Title
Owner & Licensed Optician
Phone
(860) 793-9378

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X CT1106 CT Primary
Optician 156FX1800X 001471 CT

Addresses

Primary practice location

28 East St
Plainville, CT 06062-2309

Mailing address

28 East St
Plainville, CT 06062-2309
Phone (860) 793-9378

Other identifiers 4

IdentifierTypeStateIssuer
720325OtherCTCONNECTICARE
2V5403OtherCTHEALTHNET
090001012CT01OtherCTANTHEM BCBS
004098556MedicaidCT

National Provider Directory

National Provider Directory

Locations

28 East St
Plainville, CT 06062
Phone (860) 793-9378

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1487788634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 EAST ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060622309",
            "telephone_number": "860-793-9378",
            "fax_number": "860-793-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 EAST ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060622309",
            "telephone_number": "860-793-9378",
            "fax_number": "860-793-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAINVILLE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "LINDBERG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER & LICENSED OPTICIAN",
        "authorized_official_telephone_number": "860-793-9378"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CT",
            "license": "CT1106",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "001471",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "720325",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V5403",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "090001012CT01",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004098556",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.