Organization Active NPI

Furze & Ackley Optical Inc.

  • Optometrist
  • Bridgeport, CT
National Provider Identifier
1639201452
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FURZE & ACKLEY OPTICAL INC.
Practice address
4270 Main St
Bridgeport, CT 06606-2306
Phone
(203) 372-4569
Fax
(203) 372-6550
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Jonathan P. Ackley Sr., LO
Title
President and Licensed Optician
Phone
(203) 372-4569

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X CT Primary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X CT

Addresses

Primary practice location

4270 Main St
Bridgeport, CT 06606-2306

Mailing address

4270 Main St
Bridgeport, CT 06606-2306
Phone (203) 372-4569

Other identifiers 1

IdentifierTypeStateIssuer
004133625MedicaidCT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1639201452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4270 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066062306",
            "telephone_number": "203-372-4569",
            "fax_number": "203-372-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4270 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066062306",
            "telephone_number": "203-372-4569",
            "fax_number": "203-372-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FURZE & ACKLEY OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "ACKLEY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT AND LICENSED OPTICIAN",
        "authorized_official_telephone_number": "203-372-4569",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004133625",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.