Domek, Sarah
Domek, Sarah is an individual health care provider with primary practice located at 315 Foxon Blvd , New Haven CT 06513-2355. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optician, Eye and Vision Services Providers / Ophthalmic. Eye and Vision Services Providers / Optician is her primary health care specialty. Domek, Sarah can be contacted via phone (203) 467-7509.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 1757 | Connecticut |
| Eye and Vision Services Providers / Ophthalmic | 156FX1100X | 1757 | Connecticut |
Profile Details
| NPI number | 1285147645 |
|---|---|
| LBN Legal business name | Domek, Sarah |
| Credentials | LO |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2017 |
| Last updated | May 23rd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285147645 | NPPES |
| Connecticut | MEDICAID | 1757 | |
| Connecticut | MEDICAID | 1285147645 |
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