Active NPIIndividual providerSole proprietor

Dr. Neil L Malkin, OD

Optometrist in Vernon, Connecticut

NPI Number1174602114
Practice location
375 Hartford Tpke, Vernon, CT 06066-4820
Fax
860-871-5492
Last updated
July 8, 2007

Neil L. Malkin is an Optometrist based in Vernon, CT. Neil L. Malkin practices in Vernon, CT and has the professional credentials of OD. The NPI Number for Neil L. Malkin is 1174602114 and holds a License No. CT1008 (CT). The current practice location address for Neil L. Malkin is 375 Hartford Tpke, Vernon, CT 06066-4820 and can be reached out via phone at 860-875-9433 and via fax at 860-871-5492.

Provider Profile Details

NPI Number
1174602114
Provider Name
Neil L. Malkin
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
375 Hartford Tpke, Vernon, CT 06066-4820
Phone Number
860-875-9433
Fax Number
860-871-5492
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 2, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
375 Hartford Tpke
Vernon, CT 06066-4820
City
Vernon
Zip
06066-4820
Phone Number
860-875-9433
Fax Number
860-871-5492
Vernon, CT 06066Get directions →

Provider Business Mailing Address Details

Address
375 Hartford Tpke
Vernon, CT 06066-4820
City
Vernon
State
CT
Zip
06066-4820
Phone Number
860-875-9433
Fax Number
860-871-5492

License Information

License Number
CT1008
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. Neil L Malkin, OD?

The NPI number of Dr. Neil L Malkin, OD is 1174602114. It was assigned on November 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Neil L Malkin, OD?

Dr. Neil L Malkin, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number CT1008.

Where does Dr. Neil L Malkin, OD practice?

The practice location is 375 Hartford Tpke, Vernon, CT 06066-4820. The office can be reached at 860-875-9433 (phone) or 860-871-5492 (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 1174602114 directly on the NPPES registry website.

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