Active NPIIndividual provider

Dr. Kelly M Ferjentsik, OD

Optometrist in Newtown, Connecticut

NPI Number1750614699
Practice location
14 Church Hill Road, Suite C 10, Newtown, CT 06470
Fax
203-426-5113
Last updated
September 16, 2014

Kelly Mcglynn Ferjentsik is an Optometrist based in Newtown, CT. Kelly Mcglynn Ferjentsik practices in Newtown, CT and has the professional credentials of OD. The NPI Number for Kelly Mcglynn Ferjentsik is 1750614699 and holds a License No. 4764 (MA). The current practice location address for Kelly Mcglynn Ferjentsik is 14 Church Hill Road, Suite C 10, Newtown, CT 06470 and can be reached out via phone at 203-426-2727 and via fax at 203-426-5113.

Provider Profile Details

NPI Number
1750614699
Provider Name
Kelly Mcglynn Ferjentsik
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
14 Church Hill Road, Suite C 10, Newtown, CT 06470
Phone Number
203-426-2727
Fax Number
203-426-5113
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Other Names
-- Kelly B Mcglynn, OD (Former Name)
Provider Enumeration Date
September 10, 2009
Last Update Date
September 16, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
14 Church Hill Road
Suite C 10
Newtown, CT 06470
Zip
06470
Phone Number
203-426-2727
Fax Number
203-426-5113
Newtown, CT 06470Get directions →

Provider Business Mailing Address Details

Address
14 Church Hill Road
Suite C 10
Newtown, CT 06470
City
Newtown
State
CT
Zip
06470
Phone Number
203-426-2727
Fax Number
203-426-5113

License Information

License Number (1)
4764
License State (1)
MA
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
002854
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.

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Frequently Asked Questions

What is the NPI number of Dr. Kelly M Ferjentsik, OD?

The NPI number of Dr. Kelly M Ferjentsik, OD is 1750614699. It was assigned on September 10, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Kelly M Ferjentsik, OD?

Dr. Kelly M Ferjentsik, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 4764.

Where does Dr. Kelly M Ferjentsik, OD practice?

The practice location is 14 Church Hill Road, Suite C 10, Newtown, CT 06470. The office can be reached at 203-426-2727 (phone) or 203-426-5113 (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 1750614699 directly on the NPPES registry website.

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