Active NPI
Carolina Deleon, LO
- Optician
- Trumbull, CT
National Provider Identifier
1932701729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 001805
- Practice address
- 160 Hawley LN Ste 107
Trumbull, CT 06611-5379 - Phone
- (203) 385-5705
- Fax
- (203) 378-2968
- NPI assigned
- Nov 16, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 001805 | CT | Primary |
Addresses
Primary practice location
160 Hawley LN Ste 107
Trumbull, CT 06611-5379
Mailing address
160 Hawley LN Ste 107
Trumbull, CT 06611-5379
Phone (203) 385-5705
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001805 | CT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1932701729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 HAWLEY LN STE 107",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066115379",
"telephone_number": "203-385-5705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 HAWLEY LN STE 107",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066115379",
"telephone_number": "203-385-5705",
"fax_number": "203-378-2968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELEON",
"first_name": "CAROLINA",
"credential": "LO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-16",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CT",
"license": "001805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.