Organization
THE GUILFORD OPTICAL SHOPPE INC
Active
Other names
KENNETH N. HEBERT
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY LOU F HEBERT (SECRETARY)
(203) 453-6776
Entity
Organization
Contact information
Practice address
115 STATE ST, THE GUILFORD OPTICAL SHOPPE INC, GUILFORD, CT 06437-2725
(203) 453-6776
Mailing address
115 STATE ST, GUILFORD, CT 06437-2725
(203) 453-6776
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
LO416
CT
Other
Enumeration date
10/11/2006
Last updated
02/29/2008
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