CONCORD OPTICAL (NPI# 1174732127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174732127 |
| Entity Type | Organization |
| Organization Name | CONCORD OPTICAL |
| Practice Address |
80 Thoreau St Concord MA 01742-2409 |
| Practice Telephone | 9783696707 |
| Practice Fax Number | 9783691880 |
| Mailing Telephone | 9783696707 |
| Mailing Fax Number | 9783691880 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-08-08 |
| Authorized Official Name | MR. GEORGE JOSEPH BOURQUE II (EYEGLASS CZAR) |
| Authorized Official Telephone | 9783696707 |
| Authorized Official Credential | L.D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
5767 | MA | Eye and Vision Services Providers |
| Street Address |
80 THOREAU ST |
| City | CONCORD |
| State | MA |
| Zip Code | 01742-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674348 | Camille Arcidi | Dentist | 747 Main Street, Suite 221, Concord, MA 01742 | 2020-09-17 |
| 1851916936 | Paige Hamilton-read | Psychologist | 333 Thoreau Street, Concord, MA 01742 | 2020-06-14 |
| 1467926113 | Judith Segal | Psychologist | 844 Sudbury Road, Concord, MA 01742 | 2019-01-16 |
| 1316422983 | Lisa Colagiovanni | Social Worker | 54 Hillside Ave., Concord, MA 01742 | 2018-09-30 |
| 1932699907 | Margaret C O'hearn-curran | Psychologist | 178 Silver Hill Rd, Concord, MA 01742 | 2018-05-15 |
| 1205358678 | Eva Moen | Pharmacist | 19 Nathan Pratt Drive, Unit 308, Concord, MA 01742 | 2017-07-07 |
| 1215475421 | Hengameh Lavasanifar | Pharmacist | Jcb;131 Ornac Suite 200;, Mgh Cancer Center At Emerson Hospital, Concord, MA 01742 | 2017-02-08 |
| 1255882684 | Stephanie Randazzo | Counselor | 20 Nathan Pratt Drive Unit 209, Concord, MA 01742 | 2016-10-20 |
| 1871943704 | Marjorie E. Cahn | Social Worker | 634 Walden Street, Concord, MA 01742 | 2016-06-22 |
| 1063873842 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 | 2016-03-08 |
| Find all providers in zip 01742 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952858425 | Lexington Eye Associates, Inc | Technician/Technologist | 300 Baker Avenue, Suite210, Concord, MA 01742-2131 | 2016-09-01 |
| 1730239757 | Lloyd Jewell | Technician/Technologist | 2225 Port Chicago Hwy, Concord, CA 94520-2154 | 2007-01-11 |
| 1669445763 | Walter E Chamberlain Jr. | Technician/Technologist | 9 S Spring St, Concord, NH 03301-2425 | 2006-02-09 |
| 1629062070 | Paul W Burgess | Technician/Technologist | 129 Warren St, Concord, NH 03301-2937 | 2005-08-31 |
| 1578557955 | Justine Angus | Technician/Technologist | 28 Wilson Ave, Concord, NH 03301-2231 | 2005-08-31 |
| 1396120309 | Keener Lam | Technician/Technologist | 330 Baker Ave, Concord, MA 01742-2129 | 2015-07-21 |
| 1699110924 | Tiffany Angeloni | Technician/Technologist | 86 Baker Avenue Ext, Concord, MA 01742-2132 | 2013-04-30 |
| 1154698884 | Sams East Inc | Technician/Technologist | 304 Sheep Davis Rd, Concord, NH 03301-5736 | 2011-11-23 |
| 1477671394 | New Age Optical | Technician/Technologist | 901 Sunvalley Blvd, 110, Concord, CA 94520-5899 | 2007-03-27 |
| 1992885370 | Wal-mart Stores East, Lp | Technician/Technologist | 344 Loudon Rd, Concord, NH 03301-6095 | 2006-10-17 |
| Find all providers in CONCORD | ||||
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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.