MICHAEL J SHIEMBOB, OD, Optometrist AVON, CT

Contact Information

MICHAEL J SHIEMBOB, OD

315 WEST MAIN STREET
AVON, CT 06001

Phone: 860-678-3937
Fax: 860-678-7217
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Optometrist	152W00000X	41	Optometry

Indicates primary specialty

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NPI Profile & details for MICHAEL J SHIEMBOB · (Male)

NPI #	`1225087000`
Status	Active
Credentials	OD (Doctor of Optometry)
Entity	Individual
Enumeration date	05/09/2006
Last updated	07/08/2007 - About 19 years ago
Sole proprietor ¹	Not specified
Identifiers	CT License # 002536
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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