NPI 1093176141

Kathleen G Domek

Practitioner Optician Stratford, CT

Practice location

Address: 150 Barnum Avenue Cut Off, Stratford, CT 06614
Phone: (203) 502-7637
Mailing address: 21 Belle Cir, West Haven, CT 06516-7054

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence CT 001614 (CT)

Other Technician/Technologist providers in Connecticut →

Registry record

NPI: 1093176141
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Mar 2016
Record last updated: 17 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.