Jessica Rivera

Optician · Middletown, CT

Individual Active NPI

NPI number 1063750396

Practice location

438 Main St
Suite 204
Middletown, CT 06457-3396
Phone
(888) 964-6681
Fax
(888) 662-0859

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NPI record

NPI
1063750396
Entity type
Individual (Type 1)
Enumeration date
January 22, 2013
Last updated
October 24, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optician Primary 156FX1800X 001672 CT

Mailing address

888 Worcester St
Suite 130
Wellesley, MA 02482-3744
Phone
(617) 964-6681
Fax
(339) 686-2561

About Jessica Rivera

Jessica Rivera is a healthcare provider registered in the NPI registry with the primary taxonomy Optician (code 156FX1800X). The practice location is 438 Main St, Suite 204, Middletown, CT 06457-3396. The NPI number 1063750396 was assigned on January 22, 2013 and the record was last updated on October 24, 2014.

Jessica Rivera lists a license in the registry: #001672 (CT) for Optician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jessica Rivera?

The NPI number is 1063750396.

What is the phone number of Jessica Rivera?

The phone number listed for the practice location is (888) 964-6681.

Where is Jessica Rivera located?

438 Main St, Suite 204, Middletown, CT 06457-3396.

What is the taxonomy code for Jessica Rivera?

The primary taxonomy code is 156FX1800X – Optician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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