Organization
HARLEY W HENION OPTICIAN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN W HENION LO (PRESIDENT)
(203) 757-7606
Entity
Organization
Contact information
Practice address
501 FROST RD, WATERBURY, CT 06705
(203) 757-7606
(203) 757-1781
Mailing address
501 FROST RD, WATERBURY, CT 06705
(203) 757-7606
(203) 757-1781
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
L01041
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200001124CT01
ANTHEM BC
CT
Enumeration date
06/18/2008
Last updated
08/05/2008
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