Active NPI
Angel Sierra, OPTICIAN
- Optician
- Hartford, CT
National Provider Identifier
1679629679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1098
- Practice address
- 86 Park St
Hartford, CT 06106-2524 - Phone
- (860) 728-5200
- Fax
- (860) 828-5203
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1098 | CT | Primary |
Addresses
Primary practice location
86 Park St
Hartford, CT 06106-2524
Mailing address
86 Park St
Hartford, CT 06106-2524
Phone (860) 728-5200
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1098 | CT | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679629679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 PARK ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061062524",
"telephone_number": "860-728-5200",
"fax_number": "860-828-5203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 PARK ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061062524",
"telephone_number": "860-728-5200",
"fax_number": "860-828-5203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIERRA",
"first_name": "ANGEL",
"name_prefix": "Mr.",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CT",
"license": "1098",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.