Omar J Perdomo, OD
Optometrist in Greenwich, Connecticut
1770218620- Practice location
- 600 W Putnam Ave, Greenwich, CT 06830-6080
- Phone
- 203-900-4011
- Fax
- 203-900-4014
- Last updated
- March 15, 2024
Omar J Perdomo is an Optometrist based in Greenwich, CT. Omar J Perdomo practices in Greenwich, CT and has the professional credentials of OD. The NPI Number for Omar J Perdomo is 1770218620 and holds a License No. TUV009571 (NY). The current practice location address for Omar J Perdomo is 600 W Putnam Ave, Greenwich, CT 06830-6080 and can be reached out via phone at 203-900-4011 and via fax at 203-900-4014.
Provider Profile Details
- NPI Number
- 1770218620
- Provider Name
- Omar J Perdomo
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 600 W Putnam Ave, Greenwich, CT 06830-6080
- Phone Number
- 203-900-4011
- Fax Number
- 203-900-4014
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 22, 2022
- Last Update Date
- March 15, 2024
- Certification Date
- March 15, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 600 W Putnam Ave
Greenwich, CT 06830-6080 - City
- Greenwich
- State
- Connecticut
- Zip
- 06830-6080
- Phone Number
- 203-900-4011
- Fax Number
- 203-900-4014
Provider Business Mailing Address Details
- Address
- 1077 Nepperhan Ave
Yonkers, NY 10703-1415 - City
- Yonkers
- State
- NY
- Zip
- 10703-1415
License Information
- License Number (1)
- TUV009571
- License State (1)
- NY
- Taxonomy (1)
- Optometrist · 152W00000X
- License Number (2)
- 003307
- License State (2)
- CT
- Taxonomy (2)
- Optometrist · 152W00000X · 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 Omar J Perdomo, OD?
The NPI number of Omar J Perdomo, OD is 1770218620. It was assigned on July 22, 2022 and is currently active in the NPPES registry.
What is the specialty of Omar J Perdomo, OD?
Omar J Perdomo, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NY under license number TUV009571.
Where does Omar J Perdomo, OD practice?
The practice location is 600 W Putnam Ave, Greenwich, CT 06830-6080. The office can be reached at 203-900-4011 (phone) or 203-900-4014 (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 1770218620 directly on the NPPES registry website.