Organization Active NPI

Occhiali Eyewear Boutique

  • Optician
  • Worcester, MA
National Provider Identifier
1720237001
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
5165 Issued in MA
Legal business name
OCCHIALI EYEWEAR BOUTIQUE
Practice address
316 Main St
Worcester, MA 01608-1553
Phone
(508) 799-8831
Fax
(508) 799-8834
NPI assigned
Sep 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Ms. Andrea Christina Freedman
Title
Member
Phone
(508) 799-8831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 5165 MA Primary

Addresses

Primary practice location

316 Main St
Worcester, MA 01608-1553

Mailing address

316 Main St
Worcester, MA 01608-1553
Phone (508) 799-8831

National Provider Directory

National Provider Directory

Locations

316 Main St
Worcester, MA 01608
Phone (508) 799-8831

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1720237001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MAIN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081553",
            "telephone_number": "508-799-8831",
            "fax_number": "508-799-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MAIN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081553",
            "telephone_number": "508-799-8831",
            "fax_number": "508-799-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCHIALI EYEWEAR BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "CHRISTINA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "508-799-8831",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "5165",
            "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 Sep 11, 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.