Individual provider Active NPI

Joanne Plucinik, LO

  • Optician
  • Farmington, CT
National Provider Identifier
1780300830
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
38.001867 Issued in CT
Practice address
599 Farmington Ave Ste 201
Farmington, CT 06032-2383
Phone
(860) 837-9676
NPI assigned
Oct 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 38.001867 CT Primary

Addresses

Primary practice location

599 Farmington Ave Ste 201
Farmington, CT 06032-2383

Mailing address

599 Farmington Ave Ste 201
Farmington, CT 06032-2383
Phone (860) 837-9676

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address 210jplucinik@visassoc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
38.001867CTMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1780300830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 FARMINGTON AVE STE 201",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322383",
            "telephone_number": "860-837-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 FARMINGTON AVE STE 201",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322383",
            "telephone_number": "860-837-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUCINIK",
        "first_name": "JOANNE",
        "credential": "LO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "38.001867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "210jplucinik@visassoc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "599 Farmington Ave Ste 201",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060322383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.