MR OPTICAL, LLC (NPI# 1043369135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043369135 |
| Entity Type | Organization |
| Organization Name | MR OPTICAL, LLC |
| Practice Address |
70 Mill River St Stamford CT 06902-3725 |
| Practice Telephone | 2033272020 |
| Practice Fax Number | 2033273555 |
| Mailing Telephone | 2033272020 |
| Mailing Fax Number | 2033273555 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL MYDLARZ (OPTICIAN) |
| Authorized Official Telephone | 2033272020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
001565 | CT | Eye and Vision Services Providers |
| Street Address |
70 MILL RIVER ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-3725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730110107 | James M Mcclane | Surgery | 70 Mill River St, Stamford, CT 06902-3725 | 2006-07-05 |
| 1386976819 | Carl Dila Md LLC | Neurological Surgery | 70 Mill River St, Suite Ll3, Stamford, CT 06902-3725 | 2010-02-09 |
| 1073752531 | Jonathan N Lazare M.d, P.c | Preferred Provider Organization | 70 Mill River St, Stamford, CT 06902-3725 | 2009-02-06 |
| 1770730889 | Colon and Rectal Surgeons of Southern Connecticut LLC | Colon & Rectal Surgery | 70 Mill River St, Stamford, CT 06902-3725 | 2008-08-20 |
| 1518144211 | Peter Laforte M D P C | Ophthalmology | 70 Mill River St, Stamford, CT 06902-3725 | 2008-01-24 |
| 1477733798 | Peter Goodhue | Obstetrics & Gynecology | 70 Mill River St, Stamford, CT 06902-3725 | 2007-11-05 |
| 1114112737 | Retina Associates of Ct | Specialist | 70 Mill River St, Stamford, CT 06902-3725 | 2007-09-06 |
| 1720283492 | Neurological Surgeons of Stamford, P.C. | Specialist | 70 Mill River St, Ll3, Stamford, CT 06902-3725 | 2007-06-20 |
| 1780708826 | Philip A Piro | Specialist | 70 Mill River St, Stamford, CT 06902-3725 | 2007-03-16 |
| 1588740757 | Joan T Gewirtz | Ophthalmology | 70 Mill River St, Stamford, CT 06902-3725 | 2006-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043242 | Palak Bhambri | Pharmacist | 537 Canal Street, Stamford, CT 06902 | 2019-09-26 |
| 1730654815 | Brenice Duroseau | Nurse Practitioner | 292 Long Ridge Rd Ste 202, Stamford, CT 06902 | 2018-10-04 |
| 1447732862 | Ngoc Lam | Pharmacist | 1990 West Main Street, Stamford, CT 06902 | 2018-09-01 |
| 1336627264 | Margaret F Gorelick | Nurse Practitioner | Stamford Health, One Hospital Plaza, Stamford, CT 06902 | 2018-08-02 |
| 1174053425 | Ashley Marie Santana | Social Worker | 110 Commons Park N Apt 1158, Stamford, CT 06902 | 2017-06-19 |
| 1578090395 | Anas Al-sabbagh | Dentist | 1 Strawberry Hill Court Suite L7 Stamford, Connecticut, Stamford, CT 06902 | 2017-05-11 |
| 1154862936 | Hillary Rubin | Psychologist | 44 Commerce Avenue, Stamford, CT 06902 | 2017-03-14 |
| 1801332135 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 Hospital Plz Ste G122, Stamford, CT 06902 | 2017-01-10 |
| 1932563277 | Mary Hurtadodemendoza | Pharmacist | 59 Courtland Ave 2m, Stamford, CT 06902 | 2016-04-13 |
| 1235592247 | Advanced Therapy and Performance LLC | Physical Medicine & Rehabilitation | 75 Selleck Street, Stamford, CT 06902 | 2016-03-29 |
| Find all providers in zip 06902 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962632661 | Stamford Ophthalmology, LLC | Technician/Technologist | 1351 Washington Blvd 101, Stamford, CT 06902 | 2009-07-16 |
| 1710154711 | Hitchcock Munson Opticians | Technician/Technologist | 75 High Ridge Rd, Stamford, CT 06905-3800 | 2008-05-09 |
| 1811125990 | Harold D Munson | Technician/Technologist | 75 High Ridge Rd, Stamford, CT 06905-3800 | 2009-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677481 | Ronald Haas Jr. | Technician/Technologist | 24 Pennsylvania Ave, Niantic, CT 06357-3231 | 2020-07-27 |
| 1982223293 | Sonya Voytas Maher | Technician/Technologist | 1197 Main Street, Coventry, CT 06109 | 2020-04-16 |
| 1134754294 | Dorothy Reynolds | Technician/Technologist | 2480 Black Rock Tpk, Fairfield, CT 06825-2406 | 2020-03-10 |
| 1881228237 | Rene R Rivard | Technician/Technologist | 639 Park Rd Ste 100, West Hartford, CT 06107-3443 | 2020-02-25 |
| 1588203301 | Rebecca Eneida Soto | Technician/Technologist | 20 Pasco Drive Suit A, East Windsor, CT 06088 | 2019-12-26 |
| 1376007419 | Green Valley Optical, LLC | Technician/Technologist | 21 Putnam Pike, Dayville, CT 06241 | 2019-01-23 |
| 1881115657 | Ashley Marie Holodnak | Technician/Technologist | 130 Amity Road, New Haven, CT 06515-0651 | 2017-07-03 |
| 1215480785 | George Hatsian | Technician/Technologist | 4 High Hill Cir, Weatogue, CT 06089-9728 | 2016-08-01 |
| 1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
| 1942660220 | James Valinsky | Technician/Technologist | 240 Swain Ave, Meriden, CT 06450-7218 | 2016-03-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.