Individual provider Active NPI

Carmen Isabel Once

  • Optician
  • Waterbury, CT
National Provider Identifier
1528608486
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
001786 Issued in CT
Practice address
501 Frost Rd
Waterbury, CT 06705-2347
Phone
(203) 528-7701
Fax
(203) 437-8274
NPI assigned
Jan 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 001786 CT Primary

Addresses

Primary practice location

501 Frost Rd
Waterbury, CT 06705-2347

Mailing address

501 Frost Rd
Waterbury, CT 06705-2347
Phone (203) 528-7701

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

State licenses

LicenseStateTypeSpecialty
001786CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Once Optical Group LLC Optician Current Accepting new patients

Locations

501 Frost Rd
Waterbury, CT 06705
Phone (203) 757-7606

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1528608486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FROST RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067052347",
            "telephone_number": "203-528-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 FROST RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067052347",
            "telephone_number": "203-528-7701",
            "fax_number": "203-437-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONCE",
        "first_name": "CARMEN",
        "middle_name": "ISABEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "001786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.