Active NPIIndividual provider

Dr. Laura Tiedemann, MD

Ophthalmology in Fairfield, Connecticut

NPI Number1346745775
Practice location
1375 Kings Hwy Ste 301, Fairfield, CT 06824-5396
Fax
203-330-4598
Last updated
July 7, 2023

Laura Tiedemann is an Ophthalmology based in Fairfield, CT. Laura Tiedemann practices in Fairfield, CT and has the professional credentials of MD. The NPI Number for Laura Tiedemann is 1346745775 and holds a License No. MD477351 (PA). The current practice location address for Laura Tiedemann is 1375 Kings Hwy Ste 301, Fairfield, CT 06824-5396 and can be reached out via phone at 203-366-8000 and via fax at 203-330-4598.

Provider Profile Details

NPI Number
1346745775
Provider Name
Laura Tiedemann
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1375 Kings Hwy Ste 301, Fairfield, CT 06824-5396
Phone Number
203-366-8000
Fax Number
203-330-4598
Primary Taxonomy
Ophthalmology · 207W00000X
Sole Proprietor
No
Provider Enumeration Date
March 27, 2018
Last Update Date
July 7, 2023
Certification Date
July 6, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1375 Kings Hwy Ste 301
Fairfield, CT 06824-5396
Zip
06824-5396
Phone Number
203-366-8000
Fax Number
203-330-4598
Fairfield, CT 06824Get directions →

Provider Business Mailing Address Details

Address
825 E Gate Blvd Ste 111
Garden City, NY 11530-2136
City
Garden City
State
NY
Zip
11530-2136
Phone Number
516-804-5200
Fax Number
516-766-3714

License Information

License Number (1)
MD477351
License State (1)
PA
Taxonomy (1)
Ophthalmology · 207W00000X
License Number (2)
323382
License State (2)
NY
Taxonomy (2)
Ophthalmology · 207W00000X
License Number (3)
323382
License State (3)
NY
License Number (4)
75075
License State (4)
CT
License Number (5)
75075
License State (5)
CT
Taxonomy (5)
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. Laura Tiedemann, MD?

The NPI number of Dr. Laura Tiedemann, MD is 1346745775. It was assigned on March 27, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Laura Tiedemann, MD?

Dr. Laura Tiedemann, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in PA under license number MD477351.

Where does Dr. Laura Tiedemann, MD practice?

The practice location is 1375 Kings Hwy Ste 301, Fairfield, CT 06824-5396. The office can be reached at 203-366-8000 (phone) or 203-330-4598 (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 1346745775 directly on the NPPES registry website.

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