Fred B. Conner Jr., LISENSED OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

NC0348 Issued in NC

Practice address

1816 Martin Luther King Jr. Blvd
Chapel Hill, NC 27514

Phone

(919) 969-9667

Fax

(919) 969-9774

NPI assigned

May 16, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1649437807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 MARTIN LUTHER KING BLVD.",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27514",
            "telephone_number": "919-969-9667",
            "fax_number": "919-969-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 MARTIN LUTHER KING JR. BLVD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27514",
            "telephone_number": "919-969-9667",
            "fax_number": "919-969-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "FRED",
        "middle_name": "B.",
        "name_suffix": "Jr.",
        "credential": "LISENSED OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NC",
            "license": "NC0348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Conley, MD
• Sarah Catherine Conlon, MD
• Theresa Ann Conlon, NP
• Connection Chiropractic
• Chandler Conner, DMD
• Annamarie Connolly, MD
• Hannah Connolly, PHARMD
• Ashley Connor, M.A.CCC-SLP
• Yamicia Doyasi Connor
• Kristen L Connors

• Optician in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Optician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.