Individual provider Active NPI

Dean Rubalsky

  • Optician
  • Hartford, CT
National Provider Identifier
1598556201
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
001479 Issued in CT
Practice address
495 Flatbush Ave
Hartford, CT 06106-3604
Phone
(860) 953-0830
Fax
(860) 953-0862
NPI assigned
May 13, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 001479 CT Primary

Addresses

Primary practice location

495 Flatbush Ave
Hartford, CT 06106-3604

Mailing address

495 Flatbush Ave
Hartford, CT 06106-3604
Phone (860) 953-0830

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
001479CTMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1598556201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 FLATBUSH AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063604",
            "telephone_number": "860-953-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 FLATBUSH AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063604",
            "telephone_number": "860-953-0830",
            "fax_number": "860-953-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBALSKY",
        "first_name": "DEAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "001479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.