Individual
DR. AMY HIMMELSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
440 N MAIN ST STE B, BRISTOL, CT 06010-1902
(860) 582-2166
(860) 582-8044
Mailing address
440 N MAIN ST STE B, BRISTOL, CT 06010-1902
(860) 582-2166
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1085
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004133823
—
CT
01
—
410000961
MEDICARE ID - TYPE UNSPECIFIED
—
Enumeration date
07/16/2006
Last updated
05/29/2024
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