Bridget L Kittredge, L.D.O.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

2083 Issued in MA

Practice address

470 Southern Artery
Quincy, MA 02169-4614

Phone

(617) 773-7426

Fax

(617) 770-9453

NPI assigned

Aug 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• BLK Inc.

  • Durable Medical Equipment & Medical Supplies
  • Quincy, MA
  • NPI 1730363276

  Optician

  NPD Authorized official

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1972616936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 SOUTHERN ARTERY",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694614",
            "telephone_number": "617-773-7426",
            "fax_number": "617-770-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 SOUTHERN ARTERY",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694614",
            "telephone_number": "617-773-7426",
            "fax_number": "617-770-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTREDGE",
        "first_name": "BRIDGET",
        "middle_name": "L",
        "credential": "L.D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "2083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529072",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS #",
            "identifier": "412958",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rohan Shantanu Kirtane, D.M.D, A.E.G.D
• Dawayne D Kirton Jr.
• Sally Kiss, LICSW
• Timothy J Kistler, D.C.
• Janyce G Kittler, LICSW
• Maria M Klisiaris, M.ED.
• Melinda Jean Kneeland
• Wendy B Knight, LICSW
• Laura K Knudsen, MA
• Susan Koessler

• Optician in Quincy, MA
• Providers in Quincy, MA by specialty
• Optician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.