Healthcare Provider Details

I. General information

NPI: 1629001441
Provider Name (Legal Business Name): LAURIE A CONTI O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19075 HUMMINGBIRD LN
REHOBOTH BEACH DE
19971-4466
US

IV. Provider business mailing address

19075 HUMMINGBIRD LN
REHOBOTH BEACH DE
19971-4466
US

V. Phone/Fax

Practice location:
  • Phone: 302-379-2179
  • Fax:
Mailing address:
  • Phone: 302-379-2179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number13-0001310
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: