Madrak, Joseph S.

Madrak, Joseph S. is an sole proprietor health care provider with primary practice located at 7 Riverside Dr # 4, Shelton CT 06484-8164. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Suppliers / Prosthetic/Orthotic Supplier. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Madrak, Joseph S. can be contacted via phone (203) 924-2175.

Contact Information

Primary practice address
7 Riverside Dr # 4 Shelton CT 06484-8164
Fax: (203) 924-9232
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV006965-1 New York
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 002692 Connecticut
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 002692 Connecticut
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 002692 Connecticut
Eye and Vision Services Providers / Optometrist 152W00000X 002692 Connecticut

Profile Details

NPI number 1336112770
LBN Legal business name Madrak, Joseph S.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2006
Last updated Jan 20th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336112770 NPPES
Connecticut MEDICAID 008035624

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