Active NPIIndividual provider

Erica A Nierendorf, OD

Optometrist in Bristol, Connecticut

NPI Number1376750786
Practice location
72 Farmington Ave, Bristol, CT 06010-4216
Fax
860-314-2951
Last updated
November 4, 2019

Erica A. Nierendorf is an Optometrist based in Bristol, CT. Erica A. Nierendorf practices in Bristol, CT and has the professional credentials of OD. The NPI Number for Erica A. Nierendorf is 1376750786 and holds a License No. 965 (CT). The current practice location address for Erica A. Nierendorf is 72 Farmington Ave, Bristol, CT 06010-4216 and can be reached out via phone at 860-314-2949 and via fax at 860-314-2951.

Provider Profile Details

NPI Number
1376750786
Provider Name
Erica A. Nierendorf
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
72 Farmington Ave, Bristol, CT 06010-4216
Phone Number
860-314-2949
Fax Number
860-314-2951
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Other Names
-- Erica N. Petitti, OD (Former Name)
Provider Enumeration Date
May 16, 2007
Last Update Date
November 4, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
72 Farmington Ave
Bristol, CT 06010-4216
Zip
06010-4216
Phone Number
860-314-2949
Fax Number
860-314-2951
Bristol, CT 06010Get directions →

Provider Business Mailing Address Details

Address
380 W Main St
Avon, CT 06001-3690
City
Avon
State
CT
Zip
06001-3690
Phone Number
860-409-4565
Fax Number
860-409-4566

License Information

License Number (1)
965
License State (1)
CT
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
0965
License State (2)
CT
Taxonomy (2)
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Optometrists near Bristol, CT

View all Optometrists in Bristol →

Frequently Asked Questions

What is the NPI number of Erica A Nierendorf, OD?

The NPI number of Erica A Nierendorf, OD is 1376750786. It was assigned on May 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Erica A Nierendorf, OD?

Erica A Nierendorf, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 965.

Where does Erica A Nierendorf, OD practice?

The practice location is 72 Farmington Ave, Bristol, CT 06010-4216. The office can be reached at 860-314-2949 (phone) or 860-314-2951 (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 1376750786 directly on the NPPES registry website.

Browse related providers