AUDREY ANNE CARUTHERS (NPI# 1720094535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720094535 |
Entity Type | Individual |
Full Name | AUDREY ANNE CARUTHERS |
Other Name | AUDREY ANNE SMITH |
Credential | OPTICIAN |
Practice Address |
1 Prestige Dr Suite 107 Meriden CT 06450-7164 |
Mailing Address |
25 Needham St Newton MA 02461-1615 |
Practice Telephone | 2036390311 |
Practice Fax Number | 2036391489 |
Mailing Telephone | 6179646681 |
Mailing Fax Number | 6176300141 |
Enumeration Date | 2006-08-01 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
000750 | CT | Eye and Vision Services Providers |
Street Address |
1 PRESTIGE DR SUITE 107 |
City | MERIDEN |
State | CT |
Zip Code | 06450-7164 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437393329 | Arthur C. Embleton | Audiologist | 1 Prestige Dr, Suite 107, Meriden, CT 06450-7164 | 2009-04-23 |
1154587822 | Scott Lake | Optometrist | 1 Prestige Dr, Suite 107, Meriden, CT 06450-7164 | 2008-08-01 |
1306001789 | Bita Moeinifar | Optometrist | 1 Prestige Dr, Suite 107, Meriden, CT 06450-7164 | 2008-07-24 |
1184815136 | Nathaniel Senderoff | Technician/Technologist | 1 Prestige Dr, Meriden, CT 06450-7164 | 2007-08-06 |
1144338468 | George Phillip Haas | Dentist | 1 Prestige Dr, Suite #107, Meriden, CT 06450-7164 | 2006-08-27 |
1609980945 | Janet Marie Conklin | Dental Hygienist | 1 Prestige Dr, Suite #107, Meriden, CT 06450-7164 | 2006-08-17 |
1225142599 | Mel T. Sanchez | Dentist | 1 Prestige Dr, Suite # 107, Meriden, CT 06450-7164 | 2006-08-17 |
1811906530 | Susan Rosenbluth Glasman | Podiatrist | 1 Prestige Dr, Suite 107, Meriden, CT 06450-7164 | 2006-08-05 |
1053320523 | Carol Helen Kisner-bothwell | Audiologist | 1 Prestige Dr, Suite 107, Meriden, CT 06450-7164 | 2006-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861056525 | Oak Counseling Services LLC | Counselor | Oak Counseling Services, LLC, 97 East Main St. (suite 1h), Meriden, CT 06450 | 2019-04-29 |
1467969253 | Midstate Arc | Day Training, Developmentally Disabled Services | 200 Research Pkwy, Meriden, CT 06450 | 2018-01-03 |
1144674672 | Felistas Mazhandu | Nurse Practitioner | 53 Church Hill Chase, Meriden, CT 06450 | 2016-04-21 |
1639557390 | D J Park PC | Dentist | 490-19 South Broad Street, Meriden, CT 06450 | 2015-05-14 |
1912393844 | Elliott Lacki | Psychologist | 1355 N Broad St, Meriden, CT 06450 | 2015-04-07 |
1124379797 | Jamie Anne Gargano | Social Worker | 538 Preston Avenue, Meriden, CT 06450 | 2012-09-24 |
1760738025 | Psychologist Adriana L Gonzalez Phd Pllc | Clinic/Center | 85 Hillcrest Terrace, Meriden, CT 06450 | 2012-07-24 |
1174888622 | Dong Jin Park | Dentist | 490 S Broad St, Meriden, CT 06450 | 2012-07-11 |
1710253182 | Adriana Laura Gonzalez | Psychologist | 85 Hillcrest Ter, Meriden, CT 06450 | 2012-03-29 |
1285864199 | Crystal Ann Herdman | Occupational Therapist | 33 Cone Avenue, Meriden, CT 06450 | 2009-07-27 |
Find all providers in zip 06450 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942660220 | James Valinsky | Technician/Technologist | 240 Swain Ave, Meriden, CT 06450-7218 | 2016-03-01 |
1841667383 | Paul Niles | Technician/Technologist | 546 S Broad St, 1d, Meriden, CT 06450-6600 | 2015-09-01 |
1457507493 | Sandra Perkins | Technician/Technologist | 546 S Broad St, Meriden, CT 06450-6600 | 2008-08-11 |
1184815136 | Nathaniel Senderoff | Technician/Technologist | 1 Prestige Dr, Meriden, CT 06450-7164 | 2007-08-06 |
1538293758 | Douglas Howard Parker | Technician/Technologist | 86 W Main St, Meriden, CT 06451-4111 | 2007-03-16 |
1306931415 | Walsh & Massari of Meriden Inc | Technician/Technologist | 86 W Main St, Meriden, CT 06451-4111 | 2006-10-04 |
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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 |
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.