MR. BRIAN WILLIAM GROVER (NPI# 1760616478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760616478 |
Entity Type | Individual |
Full Name | MR. BRIAN WILLIAM GROVER |
Credential | O.S. |
Practice Address |
2505 Main St Stratford CT 06615-5839 |
Practice Telephone | 2033782281 |
Practice Fax Number | 2033770233 |
Mailing Telephone | 2033782281 |
Mailing Fax Number | 2033770233 |
Enumeration Date | 2009-05-08 |
Last Update Date | 2009-06-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
001123 | CT | Eye and Vision Services Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740693811 | Brian Grover | Psychologist | 3824 Barrett Dr, #101, Raleigh, NC 27609-7220 | 2014-06-06 |
1982802187 | Brian E Grover | Pharmacist | 29 S Greene St, Suite 400, Baltimore, MD 21201-1504 | 2007-07-10 |
Street Address |
2505 MAIN ST |
City | STRATFORD |
State | CT |
Zip Code | 06615-5839 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366414237 | Robert Joseph Hurley | Social Worker | 2505 Main St, Ste 208, Stratford, CT 06615-5813 | 2006-02-06 |
1033716378 | Andrew J Pesale | Chiropractor | 2505 Main St, Stratford, CT 06615-5839 | 2020-10-08 |
1881236941 | Kaelyn Mead | Chiropractor | 2505 Main St, Stratford, CT 06615-5839 | 2019-10-10 |
1730631979 | Ashley Frisina-deyo | Specialist/Technologist | 2505 Main St, Stationhouse Sq #207, Stratford, CT 06615-5839 | 2016-11-03 |
1609112143 | Susan Marie Iwinski | Lactation Consultant, Non-RN | 2505 Main St, Suite 223, Stratford, CT 06615-5839 | 2013-01-02 |
1306111018 | George Wassell Jr. | Counselor | 2505 Main St, Stratford, CT 06615-5839 | 2012-03-13 |
1275761918 | Grover Opticians | Technician/Technologist | 2505 Main St, Stratford, CT 06615-5839 | 2009-07-01 |
1942477161 | Pesale Chiropactic, LLC | Chiropractor | 2505 Main St, Stationhouse Square, Stratford, CT 06615-5839 | 2008-05-15 |
1891963146 | Dana Lynn Jusino | Specialist/Technologist | 2505 Main St, Stationhouse Square 207, Stratford, CT 06615-5839 | 2008-02-20 |
1619155892 | Joan Marie Hannigan | Nurse Practitioner | 2505 Main St, Suite 223, Stratford, CT 06615-5839 | 2008-02-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154713832 | Lauren Pessin | Behavioral Analyst | 55 Sutton Ave, Stratford, CT 06615 | 2015-03-04 |
1801223748 | Steven Flathers | Occupational Therapist | 27 Eunice Parkway, Stratford, CT 06615 | 2013-10-10 |
1700219243 | Stratford Orthodontics | Dentist | 2499 Main Street, Stratford, CT 06615 | 2013-08-20 |
1417380981 | Debra L Tomaselli | Marriage & Family Therapist | 2296 Main Street, 2nd Floor, Stratford, CT 06615 | 2013-08-19 |
1003199217 | Katherine Bajda | Nurse Practitioner | 837 Prospect Drive, Stratford, CT 06615 | 2011-09-23 |
1336326495 | Dammy Bamisile | Social Worker | 100 Center Street, Shelton, CT 06615 | 2008-01-30 |
1487868550 | Mark Rabin | Medical Genetics, Ph.D. Medical Genetics | Dianon Systems, 200 Watson Boulevard, Stratford, CT 06615 | 2007-05-09 |
1205958675 | Sophia Leonida M.d., PC | Clinic/Center | 2505 Main St., Stratford, CT 06615 | 2007-04-04 |
1558488213 | Fatima Eslami-varzaneh | Pathology | 200 Watson Boulvard, Stratford, CT 06615 | 2007-03-26 |
1881729804 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 555 Lordship Boulevard, Stratford, CT 06615 | 2007-02-22 |
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Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
1972689388 | Wal-mart Stores East, Lp | Technician/Technologist | 150 Barnum Ave. Cutoff, Stratford, CT 06614 | 2006-10-27 |
1962919605 | Katharina Ernst-sixto | Technician/Technologist | 495 Hawley Ln, Stratford, CT 06614-1514 | 2018-01-03 |
1013428754 | Alfredo A Angeles-puriaman | Technician/Technologist | 150 Barnum Avenue Cutoff, Stratford, CT 06614-5111 | 2017-10-21 |
1811448442 | Family Vision Center | Technician/Technologist | 775 Main St, Stratford, CT 06615-7406 | 2016-10-19 |
1063968915 | David Varker | Technician/Technologist | 150 Barnum Ave. Cutoff, Stratford, CT 06614 | 2016-08-31 |
1124572813 | Joseph Vanhoose | Technician/Technologist | 150 Barnum Avenue Cutoff, Stratford, CT 06614-5111 | 2016-08-10 |
1275761918 | Grover Opticians | Technician/Technologist | 2505 Main St, Stratford, CT 06615-5839 | 2009-07-01 |
1710946793 | Donna Trotta Linsley | Technician/Technologist | 3060 Main St, Stratford, CT 06614-4945 | 2006-03-20 |
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 |
1942660220 | James Valinsky | Technician/Technologist | 240 Swain Ave, Meriden, CT 06450-7218 | 2016-03-01 |
1316321565 | Russell Fritz Jr. | Technician/Technologist | 2313 Whitney Ave., Suite 1d, Hamden, CT 06518-3504 | 2015-07-17 |
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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.