Active NPIIndividual providerSole proprietor

Diane Mintich, LO

Technician/Technologist, Optician in Wallingford, Connecticut

NPI Number1346462520
Practice location
58 Center St, Wallingford, CT 06492-4112
Fax
203-265-3129
Last updated
July 8, 2007

Diane Mintich is a Technician/Technologist, Optician based in Wallingford, CT. Diane Mintich practices in Wallingford, CT and has the professional credentials of LO. The NPI Number for Diane Mintich is 1346462520 and holds a License No. 001415 (CT). The current practice location address for Diane Mintich is 58 Center St, Wallingford, CT 06492-4112 and can be reached out via phone at 203-265-1541 and via fax at 203-265-3129.

Provider Profile Details

NPI Number
1346462520
Provider Name
Diane Mintich
Credential
LO
Provider Entity Type
Individual
Gender
Female
Address
58 Center St, Wallingford, CT 06492-4112
Phone Number
203-265-1541
Fax Number
203-265-3129
Primary Taxonomy
Technician/Technologist, Optician · 156FX1800X
Sole Proprietor
Yes
Provider Enumeration Date
May 3, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
58 Center St
Wallingford, CT 06492-4112
Zip
06492-4112
Phone Number
203-265-1541
Fax Number
203-265-3129
Wallingford, CT 06492Get directions →

Provider Business Mailing Address Details

Address
58 Center St
Wallingford, CT 06492-4112
City
Wallingford
State
CT
Zip
06492-4112

License Information

License Number
001415
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 Diane Mintich, LO?

The NPI number of Diane Mintich, LO is 1346462520. It was assigned on May 3, 2007 and is currently active in the NPPES registry.

What is the specialty of Diane Mintich, LO?

Diane Mintich, LO is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in CT under license number 001415.

Where does Diane Mintich, LO practice?

The practice location is 58 Center St, Wallingford, CT 06492-4112. The office can be reached at 203-265-1541 (phone) or 203-265-3129 (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 1346462520 directly on the NPPES registry website.

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