Individual
ROGER R HIRONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
24 KANE ST, WEST HARTFORD, CT 06119-2109
(860) 233-8548
(860) 231-8084
Mailing address
24 KANE ST, WEST HARTFORD, CT 06119-2109
(860) 233-8548
(860) 231-8084
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1086
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090001086CT04
ANTHEM
CT
Enumeration date
10/06/2006
Last updated
07/08/2007
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