PETER DONSHIK MD (NPI# 1619145430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619145430 |
| Entity Type | Organization |
| Organization Name | PETER DONSHIK MD |
| Practice Address |
47 Jolley Dr Bloomfield CT 06002-3092 |
| Mailing Address |
47 Jolley Drive Bloomfield CT 06002 |
| Practice Telephone | 8602865448 |
| Practice Fax Number | 8602865449 |
| Mailing Telephone | 8602865448 |
| Mailing Fax Number | 8602865449 |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2010-04-22 |
| Authorized Official Name | DR. PETER DONSHIK (OWNER) |
| Authorized Official Telephone | 8602865448 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 634430 | CT | Suppliers |
| Street Address |
47 JOLLEY DR |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002-3092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366403107 | Lynn Fairchild | Physician Assistant | 47 Jolley Dr, Bloomfield, CT 06002-3092 | 2006-03-31 |
| 1851689467 | Kelly O Smith | Physician Assistant | 47 Jolley Dr, Bloomfield, CT 06002-3092 | 2011-07-16 |
| 1194740399 | Peter Clifford Donshik | Ophthalmology | 47 Jolley Dr, Bloomfield, CT 06002-3092 | 2006-07-12 |
| 1982665725 | Jennifer W Pennoyer | Dermatology | 47 Jolley Dr, Bloomfield, CT 06002-3092 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908897 | Duncaster, Inc. | Clinic/Center | 30 Loeffler Rd., Bloomfield, CT 06002 | 2019-12-05 |
| 1104467919 | Caroline Suzanne Carey Oesch | Counselor | 71 West Dudley St, Bloomfield, CT 06002 | 2019-10-02 |
| 1679047534 | Inspire Me, LLC | Counselor | 1-2 Camelot Drive, Bloomfield, CT 06002 | 2019-01-14 |
| 1508348947 | Rebecca Perry | Student in an Organized Health Care Education/Training Program | 693 Bloomfield Avenue, Bloomfield, CT 06002 | 2018-09-01 |
| 1760996946 | Monique Edwards | Social Worker | 705 New Briatin Ave, Chd, Bloomfield, CT 06002 | 2017-11-27 |
| 1225564412 | Merva E Dixon | Nurse Practitioner | 38 Hill Farm Rd, Bloomfield, CT 06002 | 2017-05-07 |
| 1538602610 | Jaime Acevedo | Counselor | 571 Bloomfield Ave, Bloomfield, CT 06002 | 2016-11-22 |
| 1669835138 | Jacob Badura | Pharmacist | 799-824 Park Ave, Bloomfield, CT 06002 | 2016-04-01 |
| 1316283328 | Julie Jason Farrelly | Counselor | 45 Wintonbury Ave Ste 102, Bloomfield, CT 06002 | 2012-12-19 |
| 1184915860 | Rachel Benedetto Scott | Surgery | 6 Northwestern Drive, Suite 305, Bloomfield, CT 06002 | 2011-04-28 |
| Find all providers in zip 06002 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972994002 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2343 S Telegraph Rd, Bloomfield, MI 48302-0254 | 2015-02-11 |
| 1437427846 | Thomas G Juhl, Od | Eyewear Supplier (Equipment, not the service) | 505 W Jefferson St, Bloomfield, IA 52537-1515 | 2011-12-13 |
| 1710168513 | Pd Optics Inc | Eyewear Supplier (Equipment, not the service) | 1083 Broad St, Bloomfield, NJ 07003-2918 | 2007-11-20 |
| 1992872675 | L&m Optical Inc | Eyewear Supplier (Equipment, not the service) | 1025 Broad St, Valenza Opticians, Bloomfield, NJ 07003-2844 | 2006-11-29 |
| 1427063213 | Primary Eye Care Center, PC | Eyewear Supplier (Equipment, not the service) | 4 Northwestern Dr, Bloomfield, CT 06002-3444 | 2006-07-30 |
| 1578529707 | Charles Cummins Od Pa | Eyewear Supplier (Equipment, not the service) | 1255 Broad St, Bloomfield, NJ 07003-3000 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606516 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1280 East Main Street, Torrington, CT 06790 | 2020-10-15 |
| 1053919290 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 106 Federal Rd, Brookfield, CT 06804-2536 | 2020-10-10 |
| 1215535455 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1046 Tolland Tpke, Manchester, CT 06042-1655 | 2020-10-10 |
| 1124625710 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1046 N Colony Rd Bldg A, Wallingford, CT 06492-1764 | 2020-10-06 |
| 1285241323 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 125 Cross Rd, Waterford, CT 06385-1203 | 2020-09-23 |
| 1407463557 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 555 Universal Dr N, North Haven, CT 06473-3142 | 2020-09-23 |
| 1164038766 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 344 Reidville Dr, Waterbury, CT 06705-2638 | 2020-09-18 |
| 1306467030 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1500 New Britain Ave, H216, West Hartford, CT 06110 | 2020-05-05 |
| 1881228096 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 100 N Water St Ste 1100, Norwalk, CT 06854-5206 | 2020-02-26 |
| 1124675228 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 284 Flanders Rd, East Lyme, CT 06333-1710 | 2019-08-22 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD |
| Zip Code | 06002 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.