NPIMap

Organization Active NPI

Banville Optical Inc.

  • Optician
  • Salem, MA
National Provider Identifier
1912059882
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
4281 Issued in MA
Legal business name
BANVILLE OPTICAL INC.
Practice address
88 Lafayette St
Salem, MA 01970-3625
Phone
(978) 745-2774
Fax
(978) 745-9317
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Authorized official

Name
Mr. Richard J Rizkalla, R.D.O.
Title
Owner
Phone
(978) 745-2774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 4281 MA Primary

Addresses

Primary practice location

88 Lafayette St
Salem, MA 01970-3625

Mailing address

88 Lafayette St
Salem, MA 01970-3625
Phone (978) 745-2774

National Provider Directory

National Provider Directory

Locations

88 Lafayette St
Salem, MA 01970
Phone (978) 745-2774

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1912059882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 LAFAYETTE ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703625",
            "telephone_number": "978-745-2774",
            "fax_number": "978-745-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 LAFAYETTE ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703625",
            "telephone_number": "978-745-2774",
            "fax_number": "978-745-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANVILLE OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "RIZKALLA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-745-2774",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.D.O."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "4281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.