Active NPI
Dr Thomas J Deluca and Dr Anthony C Marciano and Associates P C
- Optometrist
- Prospect, CT
National Provider Identifier
1700105145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- CT2543
- Legal business name
- DR THOMAS J DELUCA AND DR ANTHONY C MARCIANO AND ASSOCIATES P C
- Practice address
- 67 Waterbury Rd
Prospect, CT 06712-1218 - Phone
- (203) 758-4447
- NPI assigned
- May 25, 2010
- Last updated
- May 25, 2010
- 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
- Dr. Anthony Charles Marciano Jr., OD
- Title
- Vice President
- Phone
- (203) 758-4447
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | CT784 | CT | |
| Optometrist | 152W00000X | CT2543 | CT | Primary |
Addresses
Primary practice location
67 Waterbury Rd
Prospect, CT 06712-1218
Mailing address
PO Box 7015
Prospect, CT 06712-0015
Phone (203) 758-4447
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2380911 | Other | CT | AETNA |
| 0V8126 | Other | CT | HEALTHNET |
| P384390 | Other | CT | OXFORD HEALTH PLANS |
| 004024378 | Medicaid | CT | |
| 004208890 | Medicaid | CT | |
| 731890 | Other | CT | CONNECTICARE |
| P2391686 | Other | CT | OXFORD HEALTH PLANS |
| 090000688CT02 | Other | CT | BLUE CROSS BLUE SHIELD FEP |
| 090002543CT03 | Other | CT | ANTHEM BLUE CROSS BLUE SHIELD |
| 410043547 | Other | CT | RAILROAD MEDICARE |
| 7760933012 | Other | CT | CONNECTICARE |
| 0V0487 | Other | CT | HEALTHNET |
| 410014504 | Other | CT | RAILROAD MEDICARE |
| 0502410001 | Other | CT | DME MAC JURISDICTION A |
| 090000688CT02 | Other | CT | BLUE CROSS FEP |
| 090000784CT01 | Other | CT | ANTHEM BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Flushing, NY
- NPI 1144368598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274745600000",
"number": "1700105145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7015",
"city": "PROSPECT",
"state": "CT",
"postal_code": "067120015",
"telephone_number": "203-758-4447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 WATERBURY RD",
"city": "PROSPECT",
"state": "CT",
"postal_code": "067121218",
"telephone_number": "203-758-4447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR THOMAS J DELUCA AND DR ANTHONY C MARCIANO AND ASSOCIATES P C",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-25",
"last_updated": "2010-05-25",
"status": "A",
"authorized_official_last_name": "MARCIANO",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "203-758-4447",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "CT784",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "CT2543",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2380911",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "0V8126",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "P384390",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004024378",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004208890",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "731890",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "P2391686",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD FEP",
"identifier": "090000688CT02",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
"identifier": "090002543CT03",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410043547",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "7760933012",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "0V0487",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410014504",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME MAC JURISDICTION A",
"identifier": "0502410001",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS FEP",
"identifier": "090000688CT02",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
"identifier": "090000784CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prospect, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.