Sarah Domek, LO
Technician/Technologist, Optician in New Haven, CT. Individual provider (NPI-1).
NPI number1285147645
StatusActive
Last updated in NPPESMay 23, 2023
Details
- NPI
- 1285147645
- Entity type
- Individual (NPI-1)
- Name
- Sarah Domek
- Credential
- LO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2017
- Certification date
- May 23, 2023
- Last updated
- May 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 1757 | CT | Yes |
| 156FX1100X | Technician/Technologist, Ophthalmic | 1757 | CT |
Practice location
315 Foxon BlvdNew Haven, CT 06513-2355
Phone 203-467-7509
Mailing address
315 Foxon BlvdNew Haven, CT 06513-2355
Phone 203-467-7632 · Fax 203-468-6851
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Technician/Technologist, Optician providers in New Haven, CT
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.