Individual provider Active NPI

Samantha Ann Hornbuckle

  • Optician
  • Farmington, CT
National Provider Identifier
1669169066
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
001610 Issued in CT
Practice address
599 Farmington Ave FL 2
Farmington, CT 06032-2381
Phone
(860) 837-9676
NPI assigned
Apr 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 001610 CT Primary

Addresses

Primary practice location

599 Farmington Ave FL 2
Farmington, CT 06032-2381

Mailing address

599 Farmington Ave FL 2
Farmington, CT 06032-2381
Phone (860) 837-9676

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

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Children'S Specialty Group, Inc. CurrentSince Apr 23, 2023 Accepting new patients

Locations

599 Farmington Ave
Fl 2
Farmington, CT 06032
Phone (860) 837-9600

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": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1669169066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 FARMINGTON AVE FL 2",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322381",
            "telephone_number": "860-837-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 FARMINGTON AVE FL 2",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322381",
            "telephone_number": "860-837-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNBUCKLE",
        "first_name": "SAMANTHA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "001610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.