Organization Active NPI

Once Optical Group LLC

  • Optician
  • Waterbury, CT
National Provider Identifier
1497366637
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
ONCE OPTICAL GROUP LLC
Doing business as
Waterbury Vision Center
Practice address
501 Frost Rd
Waterbury, CT 06705-2347
Phone
(203) 437-8186
Fax
(203) 437-8274
NPI assigned
Aug 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Ms. Carmen Once, LICENSED OPTICIANNPI 1528608486
Title
Owner
Phone
(203) 528-7701

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

501 Frost Rd
Waterbury, CT 06705-2347

Mailing address

87 Fox St
Waterbury, CT 06708-3401
Phone (203) 528-7701

Other identifiers 1

IdentifierTypeStateIssuer
332H00000XMedicaidCT

Other names 1

  • Waterbury Vision Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1497366637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 FOX ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083401",
            "telephone_number": "203-528-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 FROST RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067052347",
            "telephone_number": "203-437-8186",
            "fax_number": "203-437-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCE OPTICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "ONCE",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-528-7701",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICENSED OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332H00000X",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waterbury Vision Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Waterbury Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.