Provider Demographics
NPI:1427137652
Name:TOMPKINS, VERNON (OD)
Entity type:Individual
Prefix:DR
First Name:VERNON
Middle Name:
Last Name:TOMPKINS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:658 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PLANTSVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06479-1538
Mailing Address - Country:US
Mailing Address - Phone:860-621-3344
Mailing Address - Fax:
Practice Address - Street 1:658 MAIN ST
Practice Address - Street 2:
Practice Address - City:PLANTSVILLE
Practice Address - State:CT
Practice Address - Zip Code:06479-1538
Practice Address - Country:US
Practice Address - Phone:860-621-3344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000916152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
090000916CT01OtherANTHEM BCBS
0084019OtherAETNA
117652OtherEYE MED
757082OtherCONNECTICARE
P3140943OtherOXFORD HEALTH PLANS
0084019OtherAETNA