Kensington Opticians LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1027 Issued in CT

Legal business name

KENSINGTON OPTICIANS LLC

Practice address

7 Webster Square Rd
Berlin, CT 06037-2326

Phone

(860) 828-6684

Fax

(860) 828-1467

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Gordon Wicke, L.O.NPI 1992893051

Title

Manager

Phone

(860) 828-6684

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Gordon Wicke, L.O.

  • Optician
  • Berlin, CT
  • NPI 1992893051
  NPD (past) Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1740372879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WEBSTER SQUARE RD",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060372326",
            "telephone_number": "860-828-6684",
            "fax_number": "860-828-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WEBSTER SQUARE RD",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060372326",
            "telephone_number": "860-828-6684",
            "fax_number": "860-828-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENSINGTON OPTICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "WICKE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-828-6684",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.O."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "1027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Lynn Johnson, RPH
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• Megan Kennedy
• Brett W Kjellen, O.D.
• Alyssa Kniering, LPC
• Nicholas Thomas Kolosky, BA
• Thomas Gary Lapointe, D.P.M.
• Elle Grace Lascola

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.