Optical Style Bar Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1230 Issued in CT

Legal business name

OPTICAL STYLE BAR INC

Practice address

763 Main Street
Manchester, CT 06040-5102

Phone

(860) 643-1191

NPI assigned

Oct 12, 2006

Last updated

Apr 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Harold L Davey II, LO

Title

President

Phone

(860) 643-1191

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1760571558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 MAIN STREET",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405102",
            "telephone_number": "860-643-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 MAIN STREET",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405102",
            "telephone_number": "860-643-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL STYLE BAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "DAVEY",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-643-1191",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "1230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.