Provider Demographics
NPI:1942660220
Name:VALINSKY, JAMES
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:VALINSKY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 SWAIN AVE
Mailing Address - Street 2:
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06450-7218
Mailing Address - Country:US
Mailing Address - Phone:203-213-7180
Mailing Address - Fax:203-630-3242
Practice Address - Street 1:240 SWAIN AVE
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06450-7218
Practice Address - Country:US
Practice Address - Phone:203-213-7180
Practice Address - Fax:203-630-3242
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-01
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCT1225156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTCT1225OtherSTATE OF CONN