Individual provider Active NPI

Daniel L Sequeira

  • Optician
  • Brookfield, CT
National Provider Identifier
1811736895
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1640 Issued in CT
Practice address
49 Federal Rd
Brookfield, CT 06804-4568
Phone
(203) 740-2040
Fax
(203) 740-2042
NPI assigned
May 21, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 1640 CT Primary

Addresses

Primary practice location

49 Federal Rd
Brookfield, CT 06804-4568

Mailing address

49 Federal Rd
Brookfield, CT 06804-4568
Phone (203) 740-2040

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
1640CTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Edlira Alushi, O.D. LLC CurrentSince May 26, 2024 Accepting new patients

Locations

49 Federal Rd
Brookfield, CT 06804
Phone (203) 740-2040

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1811736895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 FEDERAL RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068044568",
            "telephone_number": "203-740-2040",
            "fax_number": "203-740-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 FEDERAL RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068044568",
            "telephone_number": "203-740-2040",
            "fax_number": "203-740-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEQUEIRA",
        "first_name": "DANIEL",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "1640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.