Mr. Edward J Mamelok, LO
Technician/Technologist, Optician in Old Greenwich, Connecticut
1588702559- Practice location
- 15 Arcadia Road, Old Greenwich, CT 06870
- Phone
- 203-698-2255
- Fax
- 203-698-2655
- Last updated
- July 8, 2007
Edward J Mamelok is a Technician/Technologist, Optician based in Old Greenwich, CT. Edward J Mamelok practices in Old Greenwich, CT and has the professional credentials of LO. The NPI Number for Edward J Mamelok is 1588702559 and holds a License No. 001192 (CT). The current practice location address for Edward J Mamelok is 15 Arcadia Road, Old Greenwich, CT 06870 and can be reached out via phone at 203-698-2255 and via fax at 203-698-2655.
Provider Profile Details
- NPI Number
- 1588702559
- Provider Name
- Edward J Mamelok
- Credential
- LO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 15 Arcadia Road, Old Greenwich, CT 06870
- Phone Number
- 203-698-2255
- Fax Number
- 203-698-2655
- Primary Taxonomy
- Technician/Technologist, Optician · 156FX1800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 2, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Arcadia Road
Old Greenwich, CT 06870 - City
- Old Greenwich
- State
- Connecticut
- Zip
- 06870
- Phone Number
- 203-698-2255
- Fax Number
- 203-698-2655
Provider Business Mailing Address Details
- Address
- 15 Arcadia Road
Old Greenwich, CT 06870 - City
- Old Greenwich
- State
- CT
- Zip
- 06870
- Phone Number
- 203-698-2255
- Fax Number
- 203-698-2655
License Information
- License Number
- 001192
- License State
- CT
- Taxonomy
- Technician/Technologist, Optician · 156FX1800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Edward J Mamelok, LO?
The NPI number of Mr. Edward J Mamelok, LO is 1588702559. It was assigned on February 2, 2007 and is currently active in the NPPES registry.
What is the specialty of Mr. Edward J Mamelok, LO?
Mr. Edward J Mamelok, LO is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in CT under license number 001192.
Where does Mr. Edward J Mamelok, LO practice?
The practice location is 15 Arcadia Road, Old Greenwich, CT 06870. The office can be reached at 203-698-2255 (phone) or 203-698-2655 (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 1588702559 directly on the NPPES registry website.