Active NPIIndividual provider

David M Imondi, OD

Optometrist in Newington, Connecticut

NPI Number1790754901
Practice location
VA Medical Center, 555 Willard Avenue, Newington, CT 06111
Fax
860-667-6833
Last updated
March 11, 2020

David Michael Imondi is an Optometrist based in Newington, CT. David Michael Imondi practices in Newington, CT and has the professional credentials of OD. The NPI Number for David Michael Imondi is 1790754901 and holds a License No. 002297 (CT). The current practice location address for David Michael Imondi is VA Medical Center, 555 Willard Avenue, Newington, CT 06111 and can be reached out via phone at 860-667-6742 and via fax at 860-667-6833.

Provider Profile Details

NPI Number
1790754901
Provider Name
David Michael Imondi
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
VA Medical Center, 555 Willard Avenue, Newington, CT 06111
Phone Number
860-667-6742
Fax Number
860-667-6833
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
March 17, 2006
Last Update Date
March 11, 2020
Certification Date
March 11, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
VA Medical Center
555 Willard Avenue
Newington, CT 06111
Zip
06111
Phone Number
860-667-6742
Fax Number
860-667-6833
Newington, CT 06111Get directions →

Provider Business Mailing Address Details

Address
57 Bourbon Street
South Windsor, CT 06074
City
South Windsor
State
CT
Zip
06074
Phone Number
860-539-0584
Fax Number
860-652-3291

License Information

License Number (1)
002297
License State (1)
CT
Taxonomy (1)
Optometrist · 152W00000X · Primary
License Number (2)
02297
License State (2)
CT
Taxonomy (2)
Optometrist · 152W00000X

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 David M Imondi, OD?

The NPI number of David M Imondi, OD is 1790754901. It was assigned on March 17, 2006 and is currently active in the NPPES registry.

What is the specialty of David M Imondi, OD?

David M Imondi, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 002297.

Where does David M Imondi, OD practice?

The practice location is VA Medical Center, 555 Willard Avenue, Newington, CT 06111. The office can be reached at 860-667-6742 (phone) or 860-667-6833 (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 1790754901 directly on the NPPES registry website.

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