Active NPIIndividual provider

Sarah Domek, LO

Technician/Technologist, Optician in New Haven, Connecticut

NPI Number1285147645
Practice location
315 Foxon Blvd, New Haven, CT 06513-2355
Fax
—
Last updated
May 23, 2023

Sarah Domek is a Technician/Technologist, Optician based in New Haven, CT. Sarah Domek practices in New Haven, CT and has the professional credentials of LO. The NPI Number for Sarah Domek is 1285147645 and holds a License No. 1757 (CT). The current practice location address for Sarah Domek is 315 Foxon Blvd, New Haven, CT 06513-2355 and can be reached out via phone at 203-467-7509.

Provider Profile Details

NPI Number
1285147645
Provider Name
Sarah Domek
Credential
LO
Provider Entity Type
Individual
Gender
Female
Address
315 Foxon Blvd, New Haven, CT 06513-2355
Phone Number
203-467-7509
Primary Taxonomy
Technician/Technologist, Optician · 156FX1800X
Sole Proprietor
No
Provider Enumeration Date
November 8, 2017
Last Update Date
May 23, 2023
Certification Date
May 23, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
315 Foxon Blvd
New Haven, CT 06513-2355
Zip
06513-2355
Phone Number
203-467-7509
New Haven, CT 06513Get directions →

Provider Business Mailing Address Details

Address
315 Foxon Blvd
New Haven, CT 06513-2355
City
New Haven
State
CT
Zip
06513-2355
Phone Number
203-467-7632
Fax Number
203-468-6851

License Information

License Number (1)
1757
License State (1)
CT
Taxonomy (1)
Technician/Technologist, Optician · 156FX1800X · Primary
License Number (2)
1757
License State (2)
CT
Taxonomy (2)
Technician/Technologist, Ophthalmic · 156FX1100X

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 Sarah Domek, LO?

The NPI number of Sarah Domek, LO is 1285147645. It was assigned on November 8, 2017 and is currently active in the NPPES registry.

What is the specialty of Sarah Domek, LO?

Sarah Domek, LO is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in CT under license number 1757.

Where does Sarah Domek, LO practice?

The practice location is 315 Foxon Blvd, New Haven, CT 06513-2355. The office can be reached at 203-467-7509 (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 1285147645 directly on the NPPES registry website.

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