person
Gary Dennis Heins, LICENSEDOPTICIAN
Optician in North Haven, Connecticut
NPI 1033241997

Gary Dennis Heins is a Optician based in North Haven, CT and is specialized in Optician. Gary Dennis Heins practices in North Haven, CT and has the professional credentials of LICENSEDOPTICIAN. The NPI Number for Gary Dennis Heins is 1033241997 and holds a License No. LO-# 715 (Connecticut).

The current practice location address for Gary Dennis Heins is 117 Washington Ave, North Haven, CT and can be reached out via phone at 203-239-6172 and via fax at 203-239-0295.

Location: 117 Washington Ave, North Haven, CT, 06473-1769
person
Provider Profile Details
NPI Number
1033241997
Provider Name
Gary Dennis Heins
Credential
LICENSEDOPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
117 Washington Ave, North Haven, CT, 06473-1769
Phone Number
203-239-6172
Fax Number
203-239-0295
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0648180001 01 CT NSC--NUMBER
61-1442432 01 CT FEDERAL TAX
100000715CT-01 01 CT BLUE CROSS PROVIDER
institution
Provider Business Practice Location Address Details
Address
117 Washington Ave
City
State
Zip
06473-1769
Phone Number
203-239-6172
Fax Number
203-239-0295
person
Provider Business Mailing Address Details
Address
117 Washington Ave
City
State
Zip
06473-1769
Phone Number
203-239-6172
Fax Number
203-239-0295
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
LO-# 715 (Connecticut)
Definition
Definition to come...
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