Active NPIIndividual providerSole proprietor

Justine Burdick

Technician/Technologist, Optician in Norwich, Connecticut

NPI Number1154779379
Practice location
220 Salem Tpke, Norwich, CT 06360-6455
Fax
—
Last updated
May 27, 2016

Justine Burdick is a Technician/Technologist, Optician based in Norwich, CT. Justine Burdick practices in Norwich, CT. The NPI Number for Justine Burdick is 1154779379 and holds a License No. 1605 (CT). The current practice location address for Justine Burdick is 220 Salem Tpke, Norwich, CT 06360-6455 and can be reached out via phone at 860-887-6696.

Provider Profile Details

NPI Number
1154779379
Provider Name
Justine Burdick
Provider Entity Type
Individual
Gender
Female
Address
220 Salem Tpke, Norwich, CT 06360-6455
Phone Number
860-887-6696
Primary Taxonomy
Technician/Technologist, Optician · 156FX1800X
Sole Proprietor
Yes
Provider Enumeration Date
May 27, 2016
Last Update Date
May 27, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
220 Salem Tpke
Norwich, CT 06360-6455
Zip
06360-6455
Phone Number
860-887-6696
Norwich, CT 06360Get directions →

Provider Business Mailing Address Details

Address
220 Salem Tpke
Norwich, CT 06360-6455
City
Norwich
State
CT
Zip
06360-6455

License Information

License Number
1605
License State
CT
Taxonomy
Technician/Technologist, Optician · 156FX1800X · 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 Justine Burdick?

The NPI number of Justine Burdick is 1154779379. It was assigned on May 27, 2016 and is currently active in the NPPES registry.

What is the specialty of Justine Burdick?

Justine Burdick is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in CT under license number 1605.

Where does Justine Burdick practice?

The practice location is 220 Salem Tpke, Norwich, CT 06360-6455. The office can be reached at 860-887-6696 (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 1154779379 directly on the NPPES registry website.

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