Active NPIIndividual provider

Dr. Dan C Omohundro Sr., MD

Ophthalmology in Fairfield, Connecticut

NPI Number1295839546
Practice location
2371 Black Rock Tpke, Fairfield, CT 06825
Fax
203-371-6585
Last updated
May 5, 2008

Dan Charles Omohundro is an Ophthalmology based in Fairfield, CT. Dan Charles Omohundro practices in Fairfield, CT and has the professional credentials of MD. The NPI Number for Dan Charles Omohundro is 1295839546 and holds a License No. 020114 (CT). The current practice location address for Dan Charles Omohundro is 2371 Black Rock Tpke, Fairfield, CT 06825 and can be reached out via phone at 203-371-0141 and via fax at 203-371-6585.

Provider Profile Details

NPI Number
1295839546
Provider Name
Dan Charles Omohundro
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2371 Black Rock Tpke, Fairfield, CT 06825
Phone Number
203-371-0141
Fax Number
203-371-6585
Primary Taxonomy
Ophthalmology · 207W00000X
Sole Proprietor
No
Provider Enumeration Date
September 8, 2006
Last Update Date
May 5, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
2371 Black Rock Tpke
Fairfield, CT 06825
Zip
06825
Phone Number
203-371-0141
Fax Number
203-371-6585
Fairfield, CT 06825Get directions →

Provider Business Mailing Address Details

Address
2371 Black Rock Tpke
Fairfield, CT 06825
City
Fairfield
State
CT
Zip
06825
Phone Number
203-371-0141
Fax Number
203-371-6585

License Information

License Number
020114
License State
CT
Taxonomy
Ophthalmology · 207W00000X · 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. Dan C Omohundro Sr., MD?

The NPI number of Dr. Dan C Omohundro Sr., MD is 1295839546. It was assigned on September 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Dan C Omohundro Sr., MD?

Dr. Dan C Omohundro Sr., MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in CT under license number 020114.

Where does Dr. Dan C Omohundro Sr., MD practice?

The practice location is 2371 Black Rock Tpke, Fairfield, CT 06825. The office can be reached at 203-371-0141 (phone) or 203-371-6585 (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 1295839546 directly on the NPPES registry website.

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