Active NPI
Matthew Alan Marci, LO
- Optician
- Windsor, CT
National Provider Identifier
1497839849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 001266
- Practice address
- 192 Broad St
Windsor, CT 06095 - Phone
- (860) 688-3876
- Fax
- (860) 688-3876
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 001266 | CT | Primary |
Addresses
Primary practice location
192 Broad St
Windsor, CT 06095
Mailing address
63 Stage Coach Rd
Windsor, CT 06095
Phone (860) 688-9429
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497839849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 STAGE COACH RD",
"city": "WINDSOR",
"state": "CT",
"postal_code": "06095",
"telephone_number": "860-688-9429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 BROAD ST",
"city": "WINDSOR",
"state": "CT",
"postal_code": "06095",
"telephone_number": "860-688-3876",
"fax_number": "860-688-3876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCI",
"first_name": "MATTHEW",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "LO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CT",
"license": "001266",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.