Individual
DR. JOSEPH S. MADRAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7 RIVERSIDE DR, # 4, SHELTON, CT 06484-8164
(203) 924-2175
(203) 924-9232
Mailing address
7 RIVERSIDE DR, # 4, SHELTON, CT 06484-8164
(203) 924-2175
(203) 924-9232
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002692
CT
152W00000X
Optometrist
TUV006965-1
NY
152WC0802X
Corneal and Contact Management Optometrist
002692
CT
152WL0500X
Low Vision Rehabilitation Optometrist
002692
CT
335E00000X
Prosthetic/Orthotic Supplier
002692
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008035624
—
CT
Enumeration date
02/08/2006
Last updated
01/20/2022
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