Healthcare Provider Details

I. General information

NPI: 1548670920
Provider Name (Legal Business Name): NURA SALAMEH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2014
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 HEIGHTS RD STE 318
DARIEN CT
06820-4119
US

IV. Provider business mailing address

122 HEIGHTS RD STE 318
DARIEN CT
06820-4119
US

V. Phone/Fax

Practice location:
  • Phone: 203-273-4213
  • Fax: 203-621-3293
Mailing address:
  • Phone: 203-273-4213
  • Fax: 203-621-3293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberTUV008120
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: