Kim E Neely

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

000812 Issued in CT

Legal business name

KIM E NEELY

Practice address

5 Kennedy Dr
Putnam, CT 06260-1939

Phone

(860) 928-6321

NPI assigned

Jan 22, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Erica O'Brien, L.O.

Title

Licensed Optician

Phone

(860) 928-6321

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Patricia Turbert, L.O

  • Optician
  • Putnam, CT
  • NPI 1235940990
  NPD

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1992982912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 KENNEDY DR",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601939",
            "telephone_number": "860-928-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 KENNEDY DR",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601939",
            "telephone_number": "860-928-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM E NEELY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "LICENSED OPTICIAN",
        "authorized_official_telephone_number": "860-928-6321",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.O."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CT",
            "license": "000812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004167492",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Johnson
• Tanvi Kapadia, D.D.S.
• Shilpa Kapoor, DDS
• Brittany Keppen
• Erica Kesselman, MD
• Hellen Kim, MD
• Holly Roxanne Kinnell-Rust, FNP
• Ronald W. Klare, MD
• Pamela S Knowlton
• David Song Ko, DO

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

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