NPI 1194909572

Kimberly a Ditolla, OD

Practitioner Optometrist Farmington, CT

Practice location

Address: 499 Farmington Ave Suite 100, Farmington, CT 06032-1943
Phone: (860) 678-0202
Fax: (860) 678-0224

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2481 (CT)

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Registry record

NPI: 1194909572
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Dec 2007
Record last updated: 3 Aug 2020

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.