Provider Demographics
NPI:1376530915
Name:GREIFINGER, RHONDA (OD)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:
Last Name:GREIFINGER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 MELON PATCH LN
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:CT
Mailing Address - Zip Code:06468-1120
Mailing Address - Country:US
Mailing Address - Phone:203-261-3422
Mailing Address - Fax:203-261-0921
Practice Address - Street 1:40 MELON PATCH LN
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:CT
Practice Address - Zip Code:06468-1120
Practice Address - Country:US
Practice Address - Phone:203-261-3422
Practice Address - Fax:203-261-0921
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT897152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
U12460Medicare UPIN