Individual provider Active NPI

Richard J Towle, RDO

  • Optician
  • Burlington, MA
National Provider Identifier
1831390210
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
4001 Issued in MA
Practice address
75 Middlesex Tpke
Burlington Mall, 1103
Burlington, MA 01803-4923
Phone
(781) 272-5621
Fax
(781) 272-0416
NPI assigned
May 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 4001 MA Primary

Addresses

Primary practice location

75 Middlesex Tpke
Burlington Mall, 1103
Burlington, MA 01803-4923

Mailing address

75 Middlesex Tpke
Burlington Mall, 1103
Burlington, MA 01803-4923
Phone (781) 272-5621

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
4001MAMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831390210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MIDDLESEX TPKE",
            "address_2": "BURLINGTON MALL, 1103",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034923",
            "telephone_number": "781-272-5621",
            "fax_number": "781-272-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MIDDLESEX TPKE",
            "address_2": "BURLINGTON MALL, 1103",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034923",
            "telephone_number": "781-272-5621",
            "fax_number": "781-272-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWLE",
        "first_name": "RICHARD",
        "middle_name": "J",
        "credential": "RDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "4001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.