Active NPIIndividual provider

Mark Denegre

Technician/Technologist, Optician in Centerbrook, Connecticut

NPI Number1659446342
Practice location
90 Main St, Suite 101, Centerbrook, CT 06409-1056
Fax
860-767-0836
Last updated
January 23, 2008

Mark Denegre is a Technician/Technologist, Optician based in Centerbrook, CT. Mark Denegre practices in Centerbrook, CT. The NPI Number for Mark Denegre is 1659446342 and holds a License No. 780 (CT). The current practice location address for Mark Denegre is 90 Main St, Suite 101, Centerbrook, CT 06409-1056 and can be reached out via phone at 860-767-3206 and via fax at 860-767-0836.

Provider Profile Details

NPI Number
1659446342
Provider Name
Mark Denegre
Provider Entity Type
Individual
Gender
Male
Address
90 Main St, Suite 101, Centerbrook, CT 06409-1056
Phone Number
860-767-3206
Fax Number
860-767-0836
Primary Taxonomy
Technician/Technologist, Optician · 156FX1800X
Sole Proprietor
No
Provider Enumeration Date
November 21, 2006
Last Update Date
January 23, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
90 Main St
Suite 101
Centerbrook, CT 06409-1056
Zip
06409-1056
Phone Number
860-767-3206
Fax Number
860-767-0836
Centerbrook, CT 06409Get directions →

Provider Business Mailing Address Details

Address
90 Main St
Suite 101
Centerbrook, CT 06409-1056
City
Centerbrook
State
CT
Zip
06409-1056
Phone Number
860-767-3206
Fax Number
860-767-0836

License Information

License Number
780
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 Mark Denegre?

The NPI number of Mark Denegre is 1659446342. It was assigned on November 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Mark Denegre?

Mark Denegre is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in CT under license number 780.

Where does Mark Denegre practice?

The practice location is 90 Main St, Suite 101, Centerbrook, CT 06409-1056. The office can be reached at 860-767-3206 (phone) or 860-767-0836 (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 1659446342 directly on the NPPES registry website.

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