Kathleen G Domek

Primary specialty

OpticianTaxonomy code 156FX1800X

License

CT 001614 Issued in CT

Practice address

150 Barnum Avenue Cut Off
Stratford, CT 06614

Phone

(203) 502-7637

NPI assigned

Mar 17, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1093176141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BELLE CIR",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065167054",
            "telephone_number": "203-502-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BARNUM AVENUE CUT OFF",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "06614",
            "telephone_number": "203-502-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMEK",
        "first_name": "KATHLEEN",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "CT 001614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brunilda Doda
• Frank J Dogali, PHARMD, RPH
• Marilyn Dolcetti, LCSW
• Thomas M Domanick, D.P,M,
• John Edward Dombroski, D.C.
• John P Donahue, MD
• Kelly Lynn Donnelly, LCSW
• Joseph C Downer Jr., LAC
• Downtown Dental Group of Stratford PC
• Stephanie Madonna Doyle, MS OTR/L

• Optician in Stratford, CT
• Providers in Stratford, CT by specialty
• Optician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.