Active NPIIndividual providerSole proprietor

Mrs. Ashley M Holodnak, LO

Technician/Technologist, Optician in New Haven, Connecticut

NPI Number1881115657
Practice location
130 Amity Road, New Haven, CT 06515-0651
Fax
203-397-9110
Last updated
July 3, 2017

Ashley Marie Holodnak is a Technician/Technologist, Optician based in New Haven, CT. Ashley Marie Holodnak practices in New Haven, CT and has the professional credentials of LO. The NPI Number for Ashley Marie Holodnak is 1881115657 and holds a License No. 1711 (CT). The current practice location address for Ashley Marie Holodnak is 130 Amity Road, New Haven, CT 06515-0651 and can be reached out via phone at 203-397-3878 and via fax at 203-397-9110.

Provider Profile Details

NPI Number
1881115657
Provider Name
Ashley Marie Holodnak
Credential
LO
Provider Entity Type
Individual
Gender
Female
Address
130 Amity Road, New Haven, CT 06515-0651
Phone Number
203-397-3878
Fax Number
203-397-9110
Primary Taxonomy
Technician/Technologist, Optician · 156FX1800X
Sole Proprietor
Yes
Provider Enumeration Date
July 3, 2017
Last Update Date
July 3, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Amity Road
New Haven, CT 06515-0651
Zip
06515-0651
Phone Number
203-397-3878
Fax Number
203-397-9110
New Haven, CT 06515Get directions →

Provider Business Mailing Address Details

Address
130 Amity RD
New Haven, CT 06515-1405
City
New Haven
State
CT
Zip
06515-1405
Phone Number
203-397-3878
Fax Number
203-397-9110

License Information

License Number
1711
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 Mrs. Ashley M Holodnak, LO?

The NPI number of Mrs. Ashley M Holodnak, LO is 1881115657. It was assigned on July 3, 2017 and is currently active in the NPPES registry.

What is the specialty of Mrs. Ashley M Holodnak, LO?

Mrs. Ashley M Holodnak, LO is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in CT under license number 1711.

Where does Mrs. Ashley M Holodnak, LO practice?

The practice location is 130 Amity Road, New Haven, CT 06515-0651. The office can be reached at 203-397-3878 (phone) or 203-397-9110 (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 1881115657 directly on the NPPES registry website.

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