CONRAD W. KASACK INC NPI 1023168325

NPI Information

NPI: 1023168325
Provider Name: CONRAD W. KASACK, INC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
16 WEST ST
DANBURY, CT
ZIP 06810
Phone: (203) 743-3826
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CONRAD W. KASACK, INC is an eyewear supplier in Danbury, CT. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. CONRAD W. KASACK, INC NPI is 1023168325. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16 WEST ST
DANBURY, CT
ZIP 06810-841
Phone: (203) 743-3826

The provider's authorized official is Dominick Charles Volpe .
The authorized official title is President Optician and has the following contact phone number (203) 743-3826.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 3/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician	001268	CONNECTICUT	No
2	332H00000X	Eyewear Supplier		001268	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0312660001	MEDICARE NSC	CONNECTICUT
2	004049086	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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