NPIMap

Organization Active NPI

PTC Optical Inc.

  • Optician
  • Milford, CT
National Provider Identifier
1689794851
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
000703 Issued in CT
Legal business name
PTC OPTICAL INC.
Practice address
1330 Boston Post Rd
Milford, CT 06460-2711
Phone
(203) 877-6593
Fax
(203) 877-9139
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thaddeus Bojar Jr., L.O.NPI 1356811095
Title
Licensed Optician & President
Phone
(203) 877-6593

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 000703 CT Primary

Addresses

Primary practice location

1330 Boston Post Rd
Milford, CT 06460-2711

Mailing address

1330 Boston Post Rd
Milford, CT 06460-2711
Phone (203) 877-6593

Other identifiers 1

IdentifierTypeStateIssuer
50PTCOPTICT01OtherCTANTHEM BCBS OF CT ID#

Other names 1

  • PEARLE VISION CENTER Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689794851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 BOSTON POST RD",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064602711",
            "telephone_number": "203-877-6593",
            "fax_number": "203-877-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 BOSTON POST RD",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064602711",
            "telephone_number": "203-877-6593",
            "fax_number": "203-877-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PTC OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOJAR",
        "authorized_official_first_name": "THADDEUS",
        "authorized_official_title_or_position": "LICENSED OPTICIAN & PRESIDENT",
        "authorized_official_telephone_number": "203-877-6593",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "L.O."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "000703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF CT ID#",
            "identifier": "50PTCOPTICT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEARLE VISION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milford, CT

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.

Verify at the official NPI Registry.