Active NPIIndividual providerSole proprietor

Nicholas A Paradis, OD

Optometrist in Centerbrook, Connecticut

NPI Number1093243321
Practice location
90 Main St, Ste 101, Centerbrook, CT 06409
Fax
860-767-0836
Last updated
July 21, 2022

Nicholas Anthony Paradis is an Optometrist based in Centerbrook, CT. Nicholas Anthony Paradis practices in Centerbrook, CT and has the professional credentials of OD. The NPI Number for Nicholas Anthony Paradis is 1093243321 and holds a License No. 3019 (CT). The current practice location address for Nicholas Anthony Paradis is 90 Main St, Ste 101, Centerbrook, CT 06409 and can be reached out via phone at 860-767-3206 and via fax at 860-767-0836.

Provider Profile Details

NPI Number
1093243321
Provider Name
Nicholas Anthony Paradis
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
90 Main St, Ste 101, Centerbrook, CT 06409
Phone Number
860-767-3206
Fax Number
860-767-0836
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 31, 2017
Last Update Date
July 21, 2022
Certification Date
September 29, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
90 Main St
Ste 101
Centerbrook, CT 06409
Zip
06409
Phone Number
860-767-3206
Fax Number
860-767-0836
Centerbrook, CT 06409Get directions →

Provider Business Mailing Address Details

Address
90 Main St
Ste 101
Centerbrook, CT 06409-1057
City
Centerbrook
State
CT
Zip
06409-1057
Phone Number
860-767-3206
Fax Number
860-767-0836

License Information

License Number
3019
License State
CT
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicholas A Paradis, OD?

The NPI number of Nicholas A Paradis, OD is 1093243321. It was assigned on May 31, 2017 and is currently active in the NPPES registry.

What is the specialty of Nicholas A Paradis, OD?

Nicholas A Paradis, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 3019.

Where does Nicholas A Paradis, OD practice?

The practice location is 90 Main St, Ste 101, Centerbrook, CT 06409. The office can be reached at 860-767-3206 (phone) or 860-767-0836 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093243321 directly on the NPPES registry website.

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