Imondi, David Michael
Imondi, David Michael is an individual health care provider with primary practice located at Va Medical Center 555 Willard Avenue, Newington CT 06111. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Imondi, David Michael can be contacted via phone (860) 667-6742.Contact Information
Primary practice address
Va Medical Center 555 Willard Avenue
Newington CT 06111
Phone: (860) 667-6742
Fax: (860) 667-6833
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 002297 | Connecticut |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 02297 | Connecticut |
Profile Details
| NPI number | 1790754901 |
|---|---|
| LBN Legal business name | Imondi, David Michael |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Mar 11th, 2020 - about 6 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 | 1790754901 | NPPES |
| Connecticut | MEDICAID | 4118833 |
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