MRS. KATHLEEN G DOMEK (NPI# 1093176141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093176141 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN G DOMEK |
| Practice Address |
150 Barnum Avenue Cut Off Stratford CT 06614 |
| Mailing Address |
21 Belle Cir West Haven CT 06516-7054 |
| Practice Telephone | 2035027637 |
| Mailing Telephone | 2035027637 |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
CT 001614 | CT | Eye and Vision Services Providers |
| Street Address |
150 BARNUM AVENUE CUT OFF |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
| 1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
| 1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
| 1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
| 1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
| 1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
| 1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
| 1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
| 1366710485 | Elaine Zielinski | Pharmacist | 1 Hawley Lane, Stratford, CT 06614 | 2011-12-03 |
| Find all providers in zip 06614 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972689388 | Wal-mart Stores East, Lp | Technician/Technologist | 150 Barnum Ave. Cutoff, Stratford, CT 06614 | 2006-10-27 |
| 1962919605 | Katharina Ernst-sixto | Technician/Technologist | 495 Hawley Ln, Stratford, CT 06614-1514 | 2018-01-03 |
| 1013428754 | Alfredo A Angeles-puriaman | Technician/Technologist | 150 Barnum Avenue Cutoff, Stratford, CT 06614-5111 | 2017-10-21 |
| 1811448442 | Family Vision Center | Technician/Technologist | 775 Main St, Stratford, CT 06615-7406 | 2016-10-19 |
| 1063968915 | David Varker | Technician/Technologist | 150 Barnum Ave. Cutoff, Stratford, CT 06614 | 2016-08-31 |
| 1124572813 | Joseph Vanhoose | Technician/Technologist | 150 Barnum Avenue Cutoff, Stratford, CT 06614-5111 | 2016-08-10 |
| 1275761918 | Grover Opticians | Technician/Technologist | 2505 Main St, Stratford, CT 06615-5839 | 2009-07-01 |
| 1760616478 | Brian William Grover | Technician/Technologist | 2505 Main St, Stratford, CT 06615-5839 | 2009-05-08 |
| 1710946793 | Donna Trotta Linsley | Technician/Technologist | 3060 Main St, Stratford, CT 06614-4945 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677481 | Ronald Haas Jr. | Technician/Technologist | 24 Pennsylvania Ave, Niantic, CT 06357-3231 | 2020-07-27 |
| 1982223293 | Sonya Voytas Maher | Technician/Technologist | 1197 Main Street, Coventry, CT 06109 | 2020-04-16 |
| 1134754294 | Dorothy Reynolds | Technician/Technologist | 2480 Black Rock Tpk, Fairfield, CT 06825-2406 | 2020-03-10 |
| 1881228237 | Rene R Rivard | Technician/Technologist | 639 Park Rd Ste 100, West Hartford, CT 06107-3443 | 2020-02-25 |
| 1588203301 | Rebecca Eneida Soto | Technician/Technologist | 20 Pasco Drive Suit A, East Windsor, CT 06088 | 2019-12-26 |
| 1376007419 | Green Valley Optical, LLC | Technician/Technologist | 21 Putnam Pike, Dayville, CT 06241 | 2019-01-23 |
| 1881115657 | Ashley Marie Holodnak | Technician/Technologist | 130 Amity Road, New Haven, CT 06515-0651 | 2017-07-03 |
| 1215480785 | George Hatsian | Technician/Technologist | 4 High Hill Cir, Weatogue, CT 06089-9728 | 2016-08-01 |
| 1942660220 | James Valinsky | Technician/Technologist | 240 Swain Ave, Meriden, CT 06450-7218 | 2016-03-01 |
| 1316321565 | Russell Fritz Jr. | Technician/Technologist | 2313 Whitney Ave., Suite 1d, Hamden, CT 06518-3504 | 2015-07-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.