Organization Active NPI

M & M Optical, Inc

  • Optometrist
  • Norwalk, CT
National Provider Identifier
1730208091
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002186 Issued in CT
Legal business name
M & M OPTICAL, INC
Practice address
350 Connecticut Ave
Norwalk, CT 06854-1801
Phone
(203) 866-0788
Fax
(203) 852-1915
NPI assigned
Mar 28, 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
Dr. Patrice C. Marra, O.D.NPI 1700485422
Title
Optometrist
Phone
(203) 866-0788

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 002186 CT Primary

Addresses

Primary practice location

350 Connecticut Ave
Norwalk, CT 06854-1801

Mailing address

350 Connecticut Ave
Norwalk, CT 06854-1801
Phone (203) 866-0788

Other names 1

  • Pearle Vision Doing business as

National Provider Directory

National Provider Directory

Locations

350 Connecticut Ave
Norwalk, CT 06854
Phone (203) 866-0788

1308B Davie Ave
Statesville, NC 28677

1835 Davie Ave
Ste 413
Statesville, NC 28677
Phone (704) 572-3810

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730208091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 CONNECTICUT AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068541801",
            "telephone_number": "203-866-0788",
            "fax_number": "203-852-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CONNECTICUT AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068541801",
            "telephone_number": "203-866-0788",
            "fax_number": "203-852-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & M OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARRA",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "203-866-0788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwalk, 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.