Gentile Johnston, Regina D
Gentile Johnston, Regina D is an sole proprietor health care provider with primary practice located at 501 Boston Post Rd , Orange CT 06477. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Gentile Johnston, Regina D can be contacted via phone (203) 795-3937.Contact Information
Primary practice address
501 Boston Post Rd
Orange CT 06477
Phone: (203) 795-3937
Fax: (203) 891-0737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | CT840 | Connecticut |
Profile Details
| NPI number | 1043389851 |
|---|---|
| LBN Legal business name | Gentile Johnston, Regina D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Nov 16th, 2011 - about 15 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 | 1043389851 | NPPES |
| Connecticut | MEDICAID | 004068391 |
Popular Providers
-
Keplinger, Brian Leigh
15 Grandview Dr Ste D, Frankfort KY 40601-3235 -
Varley, Richard W
508 W Chickasha Ave , Chickasha OK 73018-2412 -
Alicea, Rocio
240 Indian River Rd C-3, Orange CT 06477-3649 -
Lung, Sarah Yunan
185 Boston Post Rd Ste 13 , Orange CT 06477-3217 -
Eckard, Dax M
3353 N Gloster St , Tupelo MS 38804-9735 -
Sude, Jerome
3510 Manchester Rd , Coventry Township OH 44319-1415 -
Nychka, Diana Sophia
93 Boston Post Rd , Orange CT 06477-3203 -
Youngquist, Patricia A
185 Boston Post Rd , Orange CT 06477-3200