Audrey Anne Caruthers, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

000750 Issued in CT

Practice address

1 Prestige Dr
Suite 107
Meriden, CT 06450-7164

Phone

(203) 639-0311

Fax

(203) 639-1489

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Audrey Anne Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720094535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NEEDHAM ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611615",
            "telephone_number": "617-964-6681",
            "fax_number": "617-630-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PRESTIGE DR",
            "address_2": "SUITE 107",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064507164",
            "telephone_number": "203-639-0311",
            "fax_number": "203-639-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUTHERS",
        "first_name": "AUDREY",
        "middle_name": "ANNE",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "000750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "SMITH",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Optician in Meriden, CT
• Providers in Meriden, CT by specialty
• Optician in Connecticut

• 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.

Verify at the official NPI Registry.