Active NPI
Furze & Ackley Optical Inc.
- Optometrist
- Bridgeport, CT
National Provider Identifier
1639201452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | CT | Primary | |
| Optician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004133625 | Medicaid | CT |
National Provider Directory
National Provider DirectoryNPI 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.