Vernon Tompkins, OD

Individual provider Active NPI Optometrist · Plantsville, CT

NPI 1427137652 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1427137652
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
000916 (CT)
Practice address
658 Main St
Plantsville, CT 06479-1538
Phone
(860) 621-3344
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
916CTMDBehavioral Analyst
000916CTMDPhysician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 000916 CT Yes

Addresses

Primary practice location

658 Main St
Plantsville, CT 06479-1538

Mailing address

658 Main St
Plantsville, CT 06479-1538
Phone (860) 621-3344

Other identifiers

IdentifierTypeStateIssuer
090000916CT01OtherANTHEM BCBS
0084019OtherAETNA
117652OtherEYE MED
757082OtherCONNECTICARE
P3140943OtherOXFORD HEALTH PLANS

Other providers in Plantsville, CT

All providers in Plantsville, CT · Optometrist in Connecticut

Sources for this page

Verify at the official NPI Registry.