Individual
DR. SHARON F HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
380 W MAIN ST, LENSCRAFTERS, AVON, CT 06001-3690
(860) 409-4565
(860) 409-4566
Mailing address
380 W MAIN ST, LENSCRAFTERS, AVON, CT 06001-3690
(860) 409-4565
(860) 409-4566
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CT002456
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061623189
AETNA PIN
CT
01
—
090002456CT13
BCBS PIN
CT
01
—
566721-6484
CONNECTICARE PIN
CT
01
—
OV9631
HEALTHNET PIN
CT
Enumeration date
10/06/2006
Last updated
08/30/2013
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