Provider Demographics
NPI:1346970548
Name:POSEY, MICHELLE KULOWSKI (OD)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:KULOWSKI
Last Name:POSEY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:KULOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:100 N WATER ST STE 2825
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06854-5232
Mailing Address - Country:US
Mailing Address - Phone:203-523-7204
Mailing Address - Fax:203-523-7299
Practice Address - Street 1:100 N WATER ST STE 2825
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06854-5232
Practice Address - Country:US
Practice Address - Phone:203-523-7204
Practice Address - Fax:203-523-7299
Is Sole Proprietor?:No
Enumeration Date:2022-06-13
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3247152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist