ROBERT JOHN KISH OPTICS UNLIMITED LLC (NPI# 1023449683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023449683 |
| Entity Type | Organization |
| Organization Name | ROBERT JOHN KISH OPTICS UNLIMITED LLC |
| Practice Address |
748 Long Hill Rd Groton CT 06340-4273 |
| Practice Telephone | 8604483937 |
| Practice Fax Number | 8604490343 |
| Mailing Telephone | 8604483937 |
| Mailing Fax Number | 8604490343 |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2016-08-10 |
| Authorized Official Name | DR. ROBERT JOHN KISH (MANAGER) |
| Authorized Official Telephone | 8604483937 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 001684 | CT | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477002525 | Robert John Kish Optics Unlimited LLC | Point of Service | 748 Long Hill Rd, Groton, CT 06340-4273 | 2016-09-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | ROBERT JOHN KISH OPTICS UNLIMITED LLC | 748 Long Hill Road, Groton, CT 06340 |
| Street Address |
748 LONG HILL RD |
| City | GROTON |
| State | CT |
| Zip Code | 06340-4273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578568770 | Robert John Kish | Optometrist | 748 Long Hill Rd, Groton, CT 06340-4273 | 2005-06-15 |
| 1477002525 | Robert John Kish Optics Unlimited LLC | Point of Service | 748 Long Hill Rd, Groton, CT 06340-4273 | 2016-09-30 |
| 1255461513 | Optics Unlimited | Durable Medical Equipment & Medical Supplies | 748 Long Hill Rd, Groton, CT 06340-4273 | 2007-03-06 |
| 1740334721 | Steven F Bunin | Technician/Technologist | 748 Long Hill Rd, Groton, CT 06340-4273 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558610 | Bruce Lancel Bernardo Lara | Military Health Care Provider | Fpo, Ae, 09587-2417, Groton, AE 06340 | 2019-09-24 |
| 1295393692 | Ermelinda Elaine Alviso | Military Health Care Provider | Trout Ave, Groton, CT 06340 | 2019-05-31 |
| 1679034011 | Derek James Hale | Military Health Care Provider | Fc 83 Numi, Trout Ave, Groton, CT 06340 | 2019-03-28 |
| 1063973790 | Cody Eugene Shaw | Military Health Care Provider | Numi, Trout Ave Building 83, Groton, CT 06340 | 2019-03-26 |
| 1265906911 | Homelife Companions and Homemakers, LLC | Adult Companion | 1 Fort Hill Road, Suite 3, Groton, CT 06340 | 2019-01-16 |
| 1144735457 | Kristina Marie Carta | Behavior Technician | 220 Rt 12, Suite 205, Groton, CT 06340 | 2017-12-08 |
| 1538674262 | Tercel Dental Pllc | Dentist | 643 Gold Star Hwy., Groton, CT 06340 | 2017-12-04 |
| 1306361662 | Stonington Behavioral Health Inc | Psychologist | 618 Poquonnock Rd, Groton, CT 06340 | 2017-08-08 |
| 1104347806 | Renae Reynolds | Optometrist | 489 Gold Star Hwy Ste 100, Groton, CT 06340 | 2017-07-03 |
| 1053831552 | Susan A Bradbury | Physical Therapist | 455 Eastern Point Rd, Groton, CT 06340 | 2017-06-26 |
| Find all providers in zip 06340 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134772817 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | Naval Submarine Base New London, Bldg #484, Groton, CT 06349-5021 | 2019-07-22 |
| 1558316877 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 150 Gold Star Hwy, Groton, CT 06340-3442 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1053919290 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 106 Federal Rd, Brookfield, CT 06804-2536 | 2020-10-10 |
| 1215535455 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1046 Tolland Tpke, Manchester, CT 06042-1655 | 2020-10-10 |
| 1124625710 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1046 N Colony Rd Bldg A, Wallingford, CT 06492-1764 | 2020-10-06 |
| 1285241323 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 125 Cross Rd, Waterford, CT 06385-1203 | 2020-09-23 |
| 1407463557 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 555 Universal Dr N, North Haven, CT 06473-3142 | 2020-09-23 |
| 1164038766 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 344 Reidville Dr, Waterbury, CT 06705-2638 | 2020-09-18 |
| 1306467030 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1500 New Britain Ave, H216, West Hartford, CT 06110 | 2020-05-05 |
| 1881228096 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 100 N Water St Ste 1100, Norwalk, CT 06854-5206 | 2020-02-26 |
| 1124675228 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 284 Flanders Rd, East Lyme, CT 06333-1710 | 2019-08-22 |
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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.