NPIMap

Organization Active NPI

Colony Opticians

  • Optician
  • Wallingford, CT
National Provider Identifier
1851565618
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1278 Issued in CT
Legal business name
COLONY OPTICIANS
Practice address
60 Church St
RT68
Wallingford, CT 06492-2340
Phone
(203) 265-2205
Fax
(203) 294-4438
NPI assigned
Apr 14, 2008
Last updated
Apr 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Mr. Paul Robert BeckertNPI 1568543486
Title
Owner
Phone
(203) 265-2205

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2264 CT
Optometrist 152W00000X 2262 CT
Optician 156FX1800X 1278 CT Primary

Addresses

Primary practice location

60 Church St
RT68
Wallingford, CT 06492-2340

Mailing address

60 Church St
RT68
Wallingford, CT 06492-2340
Phone (203) 265-2205

National Provider Directory

National Provider Directory

Locations

60 Church St
#68
Yalesville, CT 06492
Phone (203) 265-2205

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1851565618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CHURCH ST",
            "address_2": "RT68",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922340",
            "telephone_number": "203-265-2205",
            "fax_number": "203-294-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CHURCH ST",
            "address_2": "RT68",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922340",
            "telephone_number": "203-265-2205",
            "fax_number": "203-294-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONY OPTICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "BECKERT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-265-2205",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2264",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2262",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "1278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.