Individual provider Active NPI

Raymond Arthur Couture, #594 LICENSED DISPEN

  • Optician
  • West Hartford, CT
National Provider Identifier
1811031610
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
594 Issued in CT
Practice address
1007 Farmington Avenue
Suite 16
West Hartford, CT 06107-2107
Phone
(860) 232-7616
Fax
(860) 233-4565
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 594 CT Primary
Optician 156FX1800X 1270 MA

Addresses

Primary practice location

1007 Farmington Avenue
Suite 16
West Hartford, CT 06107-2107

Mailing address

1007 Farmington Ave
Suite 16
West Hartford, CT 06107-2717
Phone (860) 232-7616

Other identifiers 1

IdentifierTypeStateIssuer
004036968MedicaidCT

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
1270MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Ray of Sunshine Optical,LLC PastSince Sep 15, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1811031610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 FARMINGTON AVE",
            "address_2": "SUITE 16",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072717",
            "telephone_number": "860-232-7616",
            "fax_number": "413-572-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 FARMINGTON AVENUE",
            "address_2": "SUITE 16",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072107",
            "telephone_number": "860-232-7616",
            "fax_number": "860-233-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUTURE",
        "first_name": "RAYMOND",
        "middle_name": "ARTHUR",
        "credential": "#594 LICENSED DISPEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "594",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "1270",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004036968",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.