NPIMap

Organization Active NPI

Madison Optical

  • Optician
  • Madison, CT
National Provider Identifier
1689841231
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
001475 Issued in CT
Legal business name
MADISON OPTICAL
Practice address
59 Bradley Rd
Madison, CT 06443-2632
Phone
(203) 245-4465
Fax
(203) 245-6996
NPI assigned
May 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Mr. Patrick Joseph MoriartyNPI 1083791495
Title
Owner
Phone
(203) 245-4465

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 001475 CT Primary

Addresses

Primary practice location

59 Bradley Rd
Madison, CT 06443-2632

Mailing address

59 Bradley Rd
Madison, CT 06443-2632
Phone (203) 245-4465

National Provider Directory

National Provider Directory

Locations

59 Bradley Rd
Madison, CT 06443
Phone (203) 245-4465

Practitioners & affiliated clinicians

Practitioners 2

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": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1689841231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 BRADLEY RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432632",
            "telephone_number": "203-245-4465",
            "fax_number": "203-245-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 BRADLEY RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432632",
            "telephone_number": "203-245-4465",
            "fax_number": "203-245-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "MORIARTY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-245-4465",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "001475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.