PTC OPTICAL INC. (NPI# 1689794851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689794851 |
| Entity Type | Organization |
| Organization Name | PTC OPTICAL INC. |
| Other Organization Name | PEARLE VISION CENTER |
| Practice Address |
1330 Boston Post Rd Milford CT 06460-2711 |
| Practice Telephone | 2038776593 |
| Practice Fax Number | 2038779139 |
| Mailing Telephone | 2038776593 |
| Mailing Fax Number | 2038779139 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. THADDEUS BOJAR JR. (LICENSED OPTICIAN & PRESIDENT) |
| Authorized Official Telephone | 2038776593 |
| Authorized Official Credential | L.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
000703 | CT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ANTHEM BCBS OF CT ID# | 50PTCOPTICT01 | 01 |
| Other Name | Type Code |
|---|---|
| PEARLE VISION CENTER | Doing Business As Name - Organization |
| Street Address |
1330 BOSTON POST RD |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356811095 | Thaddeus Bojar | Technician/Technologist | 1330 Boston Post Rd, Milford, CT 06460-2711 | 2018-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
| 1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
| 1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
| 1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
| 1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
| 1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
| 1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
| 1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
| 1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
| 1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
| Find all providers in zip 06460 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720119233 | Wal-mart Stores East, L.p. | Technician/Technologist | 201 Chamber Drive, Milford, OH 45150 | 2007-03-08 |
| 1073642229 | Thomas Hein | Technician/Technologist | 304 W Commerce St, Milford, MI 48381-1820 | 2007-03-05 |
| 1588740062 | Wal-mart Stores East, Lp | Technician/Technologist | 220 Route 6 & 209, Milford, PA 18337 | 2006-10-27 |
| 1245294354 | Mark A Zaleski | Technician/Technologist | 322 Broad St, Milford, PA 18337-1345 | 2006-04-14 |
| 1356811095 | Thaddeus Bojar | Technician/Technologist | 1330 Boston Post Rd, Milford, CT 06460-2711 | 2018-11-26 |
| 1790051829 | Usv Optical Inc. | Technician/Technologist | 1082 State Route 28, Milford, OH 45150-4933 | 2012-03-22 |
| 1124208475 | Joseph J Kobierecki | Technician/Technologist | 138 S Main St, Milford, MA 01757-3272 | 2007-11-04 |
| 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.