Organization Active NPI

Abdul Khaliq, P.C.

  • Optometrist
  • West Hartford, CT
National Provider Identifier
1851617294
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
019793 Issued in CT
Legal business name
ABDUL KHALIQ, P.C.
Practice address
45 S Main St
Suite 111
West Hartford, CT 06107-2441
Phone
(860) 233-7210
Fax
(860) 233-7724
NPI assigned
Apr 9, 2010
Last updated
Apr 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Authorized official

Name
Dr. Abdul H Khaliq, M.D.
Title
MD/President
Phone
(860) 233-7210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 019793 CT Primary

Addresses

Primary practice location

45 S Main St
Suite 111
West Hartford, CT 06107-2441

Mailing address

45 S Main St
Suite 111
West Hartford, CT 06107-2441
Phone (860) 233-7210

National Provider Directory

National Provider Directory

Locations

45 S Main St
Ste 111
West Hartford, CT 06107
Phone (860) 233-7210

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1851617294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 S MAIN ST",
            "address_2": "SUITE 111",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072441",
            "telephone_number": "860-233-7210",
            "fax_number": "860-233-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 S MAIN ST",
            "address_2": "SUITE 111",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072441",
            "telephone_number": "860-233-7210",
            "fax_number": "860-233-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDUL KHALIQ, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "KHALIQ",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "860-233-7210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "019793",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 9, 2010; 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.