Active NPI
Premier Optical
- Eyewear Supplier
- Worcester, MA
National Provider Identifier
1679778708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- PREMIER OPTICAL
- Practice address
- 591 Lincoln St
Worcester, MA 01605-1901 - Phone
- (508) 852-3636
- Fax
- (508) 459-5082
- NPI assigned
- Jun 19, 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
- Michele Rickert
- Title
- Administrator
- Phone
- (508) 852-3636
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
591 Lincoln St
Worcester, MA 01605-1901
Mailing address
591 Lincoln St
Worcester, MA 01605-1901
Phone (508) 852-3636
National Provider Directory
National Provider DirectoryLocations
591 Lincoln St
Worcester, MA 01605
Phone (508) 595-9494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1679778708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "591 LINCOLN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016051901",
"telephone_number": "508-852-3636",
"fax_number": "508-459-5082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "591 LINCOLN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016051901",
"telephone_number": "508-852-3636",
"fax_number": "508-459-5082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER OPTICAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RICKERT",
"authorized_official_first_name": "MICHELE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "508-852-3636"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.