Jacob Galper

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

001119 Issued in CT

Legal business name

JACOB GALPER

Doing business as

Eyeglass Place Of Newington

Practice address

2311 Berlin Tpke
Newington, CT 06111-3206

Phone

(860) 667-0921

Fax

(860) 665-7550

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jacob Galper, L.O.

Title

Owner

Phone

(860) 667-0921

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Eyeglass Place Of Newington Doing business as

Locations

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1871699843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 BERLIN TPKE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061113206",
            "telephone_number": "860-667-0921",
            "fax_number": "860-665-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 BERLIN TPKE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061113206",
            "telephone_number": "860-667-0921",
            "fax_number": "860-665-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB GALPER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "GALPER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-667-0921",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.O."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CT",
            "license": "001119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004036984",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION CARE",
            "identifier": "112340",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "200001119CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyeglass Place Of Newington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Newington, CT
• Providers in Newington, CT by specialty
• Eyewear Supplier in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.