Jonathan P Ackley, LO
Technician/Technologist, Optician in Bridgeport, Connecticut
1770893976- Practice location
- 4270 Main St, Bridgeport, CT 06606-2306
- Phone
- 203-372-4569
- Fax
- 203-372-6550
- Last updated
- October 21, 2010
Jonathan P Ackley is a Technician/Technologist, Optician based in Bridgeport, CT. Jonathan P Ackley practices in Bridgeport, CT and has the professional credentials of LO. The NPI Number for Jonathan P Ackley is 1770893976 and holds a License No. 783 (CT). The current practice location address for Jonathan P Ackley is 4270 Main St, Bridgeport, CT 06606-2306 and can be reached out via phone at 203-372-4569 and via fax at 203-372-6550.
Provider Profile Details
- NPI Number
- 1770893976
- Provider Name
- Jonathan P Ackley
- Credential
- LO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 4270 Main St, Bridgeport, CT 06606-2306
- Phone Number
- 203-372-4569
- Fax Number
- 203-372-6550
- Primary Taxonomy
- Technician/Technologist, Optician · 156FX1800X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 21, 2010
- Last Update Date
- October 21, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4270 Main St
Bridgeport, CT 06606-2306 - City
- Bridgeport
- State
- Connecticut
- Zip
- 06606-2306
- Phone Number
- 203-372-4569
- Fax Number
- 203-372-6550
Provider Business Mailing Address Details
- Address
- 4270 Main St
Bridgeport, CT 06606-2306 - City
- Bridgeport
- State
- CT
- Zip
- 06606-2306
- Phone Number
- 203-372-4569
- Fax Number
- 203-372-6550
License Information
- License Number
- 783
- License State
- CT
- Taxonomy
- Technician/Technologist, Optician · 156FX1800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Technician/Technologist, Opticians near Bridgeport, CT
View all Technician/Technologist, Opticians in Bridgeport →- Jeffrey C Lobo, LISCENSED OPTICIANTechnician/Technologist, Optician · NPI 1265019160
- Priyanshi Ashokbhai Joshi, MBBSStudent in an Organized Health Care Education/Training Program · NPI 1003744053
- Kaya M AndersonSocial Worker · NPI 1659131894
- Ronalee Dennis-NelsonNurse Practitioner, Psych/Mental Health · NPI 1073445011
- Pedro Coutinho, MDNeurological Surgery · NPI 1184147795
- Elinor Parisi, MS, MAMarriage & Family Therapist · NPI 1750541959
Frequently Asked Questions
What is the NPI number of Jonathan P Ackley, LO?
The NPI number of Jonathan P Ackley, LO is 1770893976. It was assigned on October 21, 2010 and is currently active in the NPPES registry.
What is the specialty of Jonathan P Ackley, LO?
Jonathan P Ackley, LO is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in CT under license number 783.
Where does Jonathan P Ackley, LO practice?
The practice location is 4270 Main St, Bridgeport, CT 06606-2306. The office can be reached at 203-372-4569 (phone) or 203-372-6550 (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 1770893976 directly on the NPPES registry website.