Professional Optician Management Services Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

L0679 Issued in CT

Legal business name

PROFESSIONAL OPTICIAN MANAGEMENT SERVICES INC

Practice address

741 Broad Street Extension
Waterford, CT 06385

Phone

(860) 442-6868

Fax

(860) 437-8222

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

William D Foreman, LO LICENSED OPTICIAN

Title

President

Phone

(860) 442-6868

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497817712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 BROAD STREET EXT",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "06385",
            "telephone_number": "860-442-6868",
            "fax_number": "860-437-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 BROAD STREET EXTENSION",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "06385",
            "telephone_number": "860-442-6868",
            "fax_number": "860-437-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL OPTICIAN MANAGEMENT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-442-6868",
        "authorized_official_credential": "LO LICENSED OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "L0679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Plattner
• PO CHI Lam Clinic Inc
• Corey Podbielski
• Valerie Popkin, M.D.
• Professional Eyecare, LLC
• Professional Opticians Inc
• Emma Punsalan, OD
• Edward P. Raccio, D.M.D.
• Khalil Keefe Rahman
• Meghana Rao Brito, M.D.

• Optician in Waterford, CT
• Providers in Waterford, CT by specialty
• Optician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.