Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMENIC A. DIVITO
Active Sole ProprietorDOMENIC A. DIVITO is a Optician, Dispensing healthcare provider located in PARK RIDGE, Illinois. NPI 1457409500 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · PARK RIDGE, IL
Registration Details
- NPI Number
- 1457409500
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 8, 2007 (19.560805380442 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
17 N NORTHWEST HWYPARK RIDGE, IL, 600683339Browse IL providers · Browse ZIP 60068
- Phone
- 8478232255
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in PARK RIDGE, IL
| Name | Credential | NPI |
|---|---|---|
| MR. DARYL R. KUNZ | OPTICIAN | 1568513737 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.