Dr. Xiaomin Fang, OD
Optometrist in Lisbon, Connecticut
1265783047- Practice location
- 180 River RD, Wal-Mart Vision Center, Lisbon, CT 06351-3249
- Phone
- 781-330-2605
- Fax
- —
- Last updated
- September 20, 2012
Xiaomin Fang is an Optometrist based in Lisbon, CT. Xiaomin Fang practices in Lisbon, CT and has the professional credentials of OD. The NPI Number for Xiaomin Fang is 1265783047 and holds a License No. 2864 (CT). The current practice location address for Xiaomin Fang is 180 River RD, Wal-Mart Vision Center, Lisbon, CT 06351-3249 and can be reached out via phone at 781-330-2605.
Provider Profile Details
- NPI Number
- 1265783047
- Provider Name
- Xiaomin Fang
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 180 River RD, Wal-Mart Vision Center, Lisbon, CT 06351-3249
- Phone Number
- 781-330-2605
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 20, 2012
- Last Update Date
- September 20, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 180 River RD
Wal-Mart Vision Center
Lisbon, CT 06351-3249 - City
- Lisbon
- State
- Connecticut
- Zip
- 06351-3249
- Phone Number
- 781-330-2605
Provider Business Mailing Address Details
- Address
- 200 Regan RD
Apt. 26C
Vernon, CT 06066-2850 - City
- Vernon
- State
- CT
- Zip
- 06066-2850
- Phone Number
- 781-330-2605
License Information
- License Number
- 2864
- License State
- CT
- Taxonomy
- Optometrist · 152W00000X · 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 Dr. Xiaomin Fang, OD?
The NPI number of Dr. Xiaomin Fang, OD is 1265783047. It was assigned on September 20, 2012 and is currently active in the NPPES registry.
What is the specialty of Dr. Xiaomin Fang, OD?
Dr. Xiaomin Fang, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 2864.
Where does Dr. Xiaomin Fang, OD practice?
The practice location is 180 River RD, Wal-Mart Vision Center, Lisbon, CT 06351-3249. The office can be reached at 781-330-2605 (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 1265783047 directly on the NPPES registry website.