Robert J. Connelly

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

004654 Issued in NY

Legal business name

ROBERT J. CONNELLY

Practice address

22 Harper St
Stamford, NY 12167-0088

Phone

(607) 652-7207

Fax

(607) 652-4753

NPI assigned

Feb 11, 2008

Last updated

Mar 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert J. Connelly, O.D.NPI 1922162148

Title

Owner

Phone

(607) 652-7207

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Robert John Connelly, O.D.

  • Optometrist
  • Stamford, NY
  • NPI 1922162148
  NPD (past) Authorized official

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1497923528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HARPER ST",
            "address_2": "PO BOX 88",
            "city": "STAMFORD",
            "state": "NY",
            "postal_code": "121670088",
            "telephone_number": "607-652-7207",
            "fax_number": "607-652-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HARPER ST",
            "city": "STAMFORD",
            "state": "NY",
            "postal_code": "121670088",
            "telephone_number": "607-652-7207",
            "fax_number": "607-652-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. CONNELLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "CONNELLY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-652-7207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "004654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Oeser
• Jennifer Parker, LCSW-R
• Ramon Mira Postrano Jr.
• Brian Reese, PT
• Rite Aid of New York Inc (Rite Aid Pharmacy 07873)
• Rtacf LLC
• Rtrnc LLC
• Alice E Shockey
• Stamford Central School Dist 1
• Stamford Health Care Society (Robinson Terrrace Senior Living)

• Eyewear Supplier in Stamford, NY
• Providers in Stamford, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.