James J Comeau, L.O.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1294 Issued in CT

Practice address

58 Center St
Wallingford, CT 06492-4112

Phone

(203) 265-1541

Fax

(203) 265-3129

NPI assigned

Nov 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wallingford Optical, LLC

  • Eyewear Supplier
  • Wallingford, CT
  • NPI 1609929983
  NPD (past) Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508934621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 CENTER ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924112",
            "telephone_number": "203-265-1541",
            "fax_number": "203-265-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 CENTER ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924112",
            "telephone_number": "203-265-1541",
            "fax_number": "203-265-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMEAU",
        "first_name": "JAMES",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "L.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "1294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "CT1294",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "51051",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "100001294CT02",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Brendan John Comer, MD
• Communicate With Me, Speech Therapy LLC
• Community Health Center Inc
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• Complete Wound Care LLC

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

• 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.

Verify at the official NPI Registry.