| NPI | 1174224638 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2023-03-13 |
| Last Updated | 2023-04-04 |
| Authorized Official | Jillian Lombardi MEMBER Phone: 8603911542 |
| Mailing Address | 18 Pennsylvania Ave Niantic, CT 06357-3231 United States Phone: (860) 391-1542 | Fax: (869) 691-0105 📍 View Map |
| Primary Practice Address | 18 Pennsylvania Ave Niantic, CT 06357-3231 United States Phone: (860) 391-1542 | Fax: (860) 691-0105 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 152W00000X – Optometrist | - | - |
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About NPI 1174224638
Dr Jillian Bradley Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1174224638. The primary specialty listed is Optometrist. The organization is located in Niantic, CT. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2023-03-13. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1174224638?
NPI 1174224638 belongs to Dr Jillian Bradley Llc, a Optometrist in Niantic, CT. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1174224638 active?
The current status of NPI 1174224638 in the NPPES registry is Active. The record was last updated on 2023-04-04.
What specialty is NPI 1174224638?
NPI 1174224638 is classified under the taxonomy Optometrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1174224638?
You can verify NPI 1174224638 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1174224638?
The primary practice address on file for NPI 1174224638 is 18 Pennsylvania Ave, Niantic, CT 06357-3231. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1174224638 issued?
NPI 1174224638 was first issued (enumerated) on 2023-03-13. The NPPES record was last updated on 2023-04-04.
Practice Location Map
Dr Jillian Bradley Llc is located at 18 Pennsylvania Ave, Niantic, CT. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Dr Jillian Bradley Llc. All records sourced from the CMS NPPES registry.