KEENAN RUSSELL & MOORE INC (NPI# 1467510727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467510727 |
Entity Type | Organization |
Organization Name | KEENAN RUSSELL & MOORE INC |
Practice Address |
650 West Ave Norwalk CT 06850-4020 |
Practice Telephone | 2038662775 |
Mailing Telephone | 2038662775 |
Enumeration Date | 2006-12-05 |
Last Update Date | 2008-07-16 |
Authorized Official Name | MR. JOHN JABLONSKI (PRESIDENT) |
Authorized Official Telephone | 2038662775 |
Authorized Official Credential | LO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
001177 | CT | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 004036364 | 05 |
Street Address |
650 WEST AVE |
City | NORWALK |
State | CT |
Zip Code | 06850-4020 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902141120 | Ajaunie Deago Silpot | Physical Therapy Assistant | 650 West Ave, Innovative Health and Rehabilitation, Norwalk, CT 06850-4020 | 2012-11-28 |
1013263698 | Dann Hearing Aid Center, LLC | Hearing Instrument Specialist | 650 West Ave, Norwalk, CT 06850-4020 | 2012-08-01 |
1104188523 | Christopher Romney Dann | Hearing Instrument Specialist | 650 West Ave, Norwalk, CT 06850-4020 | 2012-06-12 |
1134207012 | John R. Meehan Jr. | Physical Therapist | 650 West Ave, Norwalk, CT 06850-4020 | 2006-11-01 |
1447271846 | Ralph Anthony Antonacci Jr. | Physical Therapist | 650 West Ave, Norwalk, CT 06850-4020 | 2006-07-21 |
1396760377 | Jaime Anne Young | Specialist/Technologist | 650 West Ave, Norwalk, CT 06850-4020 | 2006-07-12 |
1710919022 | Christopher Joseph Antonacci | Physical Therapist | 650 West Ave, Norwalk, CT 06850-4020 | 2006-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497105092 | Brightview Norwalk, LLC | Alzheimer Center (Dementia Center) | 162 New Canaan Ave., Norwalk, CT 06850 | 2016-06-15 |
1518321306 | Megan Yee | Social Worker | 54 W. Norwalk Road, Norwalk, CT 06850 | 2016-04-08 |
1992129886 | Alicia Collen Zeidan | Nurse Practitioner | 10 Mott Ave Ste 2a, Norwalk, CT 06850 | 2014-02-12 |
1306194642 | Diane Beth Weiss | Specialist | 12 Rae Lane, Norwalk, CT 06850 | 2012-08-16 |
1538491170 | Thomas C. Santaniello | Dentist | 16 River Street, Norwalk, CT 06850 | 2010-02-08 |
1720226988 | Kathleen F Dayton | Counselor | 4 Berkeley Street, Super Kids, Norwalk, CT 06850 | 2009-01-27 |
1578716783 | Helen B. Mccue | Social Worker | 9 Mott Avenue, Family and Children's Agency, Norwalk, CT 06850 | 2008-10-31 |
1609900497 | James Schumacher | Physician Assistant | Maple Avenue, Norwalk, CT 06850 | 2007-03-15 |
1134270002 | Neelam Narula | Nurse Practitioner | 34 Maple St Ste J, Norwalk, CT 06850 | 2007-01-16 |
1669559951 | Patricia Jorquera | Pediatrics | 10 Mott Avenue, 4th Floor, Norwalk, CT 06850 | 2006-11-01 |
Find all providers in zip 06850 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427485846 | Michelle Clement | Technician/Technologist | 650 Main Avenue, Norwalk, CT 06851 | 2013-09-30 |
1083087159 | Paul Wilhelm | Technician/Technologist | 650 Main Ave, Norwalk, CT 06851-1126 | 2015-11-11 |
1275617813 | Walmart Stores, Inc. | Technician/Technologist | 11729 Imperial Hwy, Norwalk, CA 90650-2819 | 2006-10-24 |
1316958382 | Wal-mart Stores East, Lp | Technician/Technologist | 340 Westwind Dr, Norwalk, OH 44857-9104 | 2006-08-11 |
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.