Individual
SCOTT LEO HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPHTHALMIC DISPENSER
Contact information
Practice address
603 RIDGE RD, WEBSTER, NY 14580-2316
(585) 276-8608
(585) 671-2540
Mailing address
603 RIDGE RD, WEBSTER, NY 14580-2316
(585) 276-8608
(585) 671-2540
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
005906
NY
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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