Mrs. Kathleen G Domek
Technician/Technologist, Optician in Stratford, Connecticut
1093176141- Practice location
- 150 Barnum Avenue Cut Off, Stratford, CT 06614
- Phone
- 203-502-7637
- Fax
- —
- Last updated
- March 17, 2016
Kathleen G Domek is a Technician/Technologist, Optician based in Stratford, CT. Kathleen G Domek practices in Stratford, CT. The NPI Number for Kathleen G Domek is 1093176141 and holds a License No. CT 001614 (CT). The current practice location address for Kathleen G Domek is 150 Barnum Avenue Cut Off, Stratford, CT 06614 and can be reached out via phone at 203-502-7637.
Provider Profile Details
- NPI Number
- 1093176141
- Provider Name
- Kathleen G Domek
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 150 Barnum Avenue Cut Off, Stratford, CT 06614
- Phone Number
- 203-502-7637
- Primary Taxonomy
- Technician/Technologist, Optician · 156FX1800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 17, 2016
- Last Update Date
- March 17, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 150 Barnum Avenue Cut Off
Stratford, CT 06614 - City
- Stratford
- State
- Connecticut
- Zip
- 06614
- Phone Number
- 203-502-7637
Provider Business Mailing Address Details
- Address
- 21 Belle Cir
West Haven, CT 06516-7054 - City
- West Haven
- State
- CT
- Zip
- 06516-7054
- Phone Number
- 203-502-7637
License Information
- License Number
- CT 001614
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Kathleen G Domek?
The NPI number of Mrs. Kathleen G Domek is 1093176141. It was assigned on March 17, 2016 and is currently active in the NPPES registry.
What is the specialty of Mrs. Kathleen G Domek?
Mrs. Kathleen G Domek is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in CT under license number CT 001614.
Where does Mrs. Kathleen G Domek practice?
The practice location is 150 Barnum Avenue Cut Off, Stratford, CT 06614. The office can be reached at 203-502-7637 (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 1093176141 directly on the NPPES registry website.