Provider Demographics
NPI:1447359088
Name:LOMONACO, CLAUDETTE (OD)
Entity type:Individual
Prefix:
First Name:CLAUDETTE
Middle Name:
Last Name:LOMONACO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3626 E TREMONT AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-2030
Mailing Address - Country:US
Mailing Address - Phone:347-293-8585
Mailing Address - Fax:347-293-8919
Practice Address - Street 1:3626 E TREMONT AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-2030
Practice Address - Country:US
Practice Address - Phone:347-293-8585
Practice Address - Fax:347-293-8919
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY006446152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
A400070319Medicare PIN