Active NPIIndividual providerSole proprietor

Dr. Nicholas E Wisniewski, OD

Optometrist in Colchester, Connecticut

NPI Number1124199864
Practice location
715 Middletown RD, Colchester, CT 06415-2236
Fax
860-468-4235
Last updated
May 21, 2021

Nicholas E. Wisniewski is an Optometrist based in Colchester, CT. Nicholas E. Wisniewski practices in Colchester, CT and has the professional credentials of OD. The NPI Number for Nicholas E. Wisniewski is 1124199864 and holds a License No. 002700 (CT). The current practice location address for Nicholas E. Wisniewski is 715 Middletown RD, Colchester, CT 06415-2236 and can be reached out via phone at 860-531-3852 and via fax at 860-468-4235.

Provider Profile Details

NPI Number
1124199864
Provider Name
Nicholas E. Wisniewski
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
715 Middletown RD, Colchester, CT 06415-2236
Phone Number
860-531-3852
Fax Number
860-468-4235
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 13, 2006
Last Update Date
May 21, 2021
Certification Date
May 21, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
715 Middletown RD
Colchester, CT 06415-2236
Zip
06415-2236
Phone Number
860-531-3852
Fax Number
860-468-4235
Colchester, CT 06415Get directions →

Provider Business Mailing Address Details

Address
715 Middletown RD
Colchester, CT 06415-2236
City
Colchester
State
CT
Zip
06415-2236
Phone Number
860-531-3852
Fax Number
860-468-4235

License Information

License Number
002700
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. Nicholas E Wisniewski, OD?

The NPI number of Dr. Nicholas E Wisniewski, OD is 1124199864. It was assigned on November 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Nicholas E Wisniewski, OD?

Dr. Nicholas E Wisniewski, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 002700.

Where does Dr. Nicholas E Wisniewski, OD practice?

The practice location is 715 Middletown RD, Colchester, CT 06415-2236. The office can be reached at 860-531-3852 (phone) or 860-468-4235 (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 1124199864 directly on the NPPES registry website.

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