Active NPIIndividual providerSole proprietor

Dr. Michael R Sundman, OD

Optometrist in Bristol, Connecticut

NPI Number1063595783
Practice location
1400 Farmington Ave, Walmart Vision Center, Bristol, CT 06010-4701
Fax
—
Last updated
July 8, 2007

Michael Richard Sundman is an Optometrist based in Bristol, CT. Michael Richard Sundman practices in Bristol, CT and has the professional credentials of OD. The NPI Number for Michael Richard Sundman is 1063595783 and holds a License No. 002398 (CT). The current practice location address for Michael Richard Sundman is 1400 Farmington Ave, Walmart Vision Center, Bristol, CT 06010-4701 and can be reached out via phone at 860-585-1156.

Provider Profile Details

NPI Number
1063595783
Provider Name
Michael Richard Sundman
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
1400 Farmington Ave, Walmart Vision Center, Bristol, CT 06010-4701
Phone Number
860-585-1156
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 24, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1400 Farmington Ave
Walmart Vision Center
Bristol, CT 06010-4701
Zip
06010-4701
Phone Number
860-585-1156
Bristol, CT 06010Get directions →

Provider Business Mailing Address Details

Address
382 Gillette RD
New Hartford, CT 06057-2809
City
New Hartford
State
CT
Zip
06057-2809
Phone Number
860-496-1922

License Information

License Number
002398
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 Dr. Michael R Sundman, OD?

The NPI number of Dr. Michael R Sundman, OD is 1063595783. It was assigned on October 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael R Sundman, OD?

Dr. Michael R Sundman, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 002398.

Where does Dr. Michael R Sundman, OD practice?

The practice location is 1400 Farmington Ave, Walmart Vision Center, Bristol, CT 06010-4701. The office can be reached at 860-585-1156 (phone).

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 1063595783 directly on the NPPES registry website.

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