Dr. Gemma S. Stirba, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

002686 Issued in CT

Legal business name

DR. GEMMA S. STIRBA, LLC

Practice address

150 Gold Star Hwy
Groton, CT 06340-3442

Phone

(860) 449-0185

Fax

(860) 449-0421

NPI assigned

Mar 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gemma Soliman Stirba, O.D.

Title

Owner

Phone

(860) 449-0185

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1508038605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BAXTER RD",
            "address_2": "UNIT 2C",
            "city": "WILLINGTON",
            "state": "CT",
            "postal_code": "062791805",
            "telephone_number": "860-449-0185",
            "fax_number": "869-449-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GOLD STAR HWY",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403442",
            "telephone_number": "860-449-0185",
            "fax_number": "860-449-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GEMMA S. STIRBA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "STIRBA",
        "authorized_official_first_name": "GEMMA",
        "authorized_official_middle_name": "SOLIMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-449-0185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Groton, CT
• Providers in Groton, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.