Mrs. Stacey R Evans, LO
Technician/Technologist, Optician in Torrington, Connecticut
1134900830- Practice location
- 333 Kennedy Dr Ste L202, Torrington, CT 06790-7201
- Phone
- 860-482-9399
- Fax
- —
- Last updated
- October 9, 2023
Stacey R Evans is a Technician/Technologist, Optician based in Torrington, CT. Stacey R Evans practices in Torrington, CT and has the professional credentials of LO. The NPI Number for Stacey R Evans is 1134900830 and holds a License No. 001826 (CT). The current practice location address for Stacey R Evans is 333 Kennedy Dr Ste L202, Torrington, CT 06790-7201 and can be reached out via phone at 860-482-9399.
Provider Profile Details
- NPI Number
- 1134900830
- Provider Name
- Stacey R Evans
- Credential
- LO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 333 Kennedy Dr Ste L202, Torrington, CT 06790-7201
- Phone Number
- 860-482-9399
- Primary Taxonomy
- Technician/Technologist, Optician · 156FX1800X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 9, 2023
- Last Update Date
- October 9, 2023
- Certification Date
- October 9, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 333 Kennedy Dr Ste L202
Torrington, CT 06790-7201 - City
- Torrington
- State
- Connecticut
- Zip
- 06790-7201
- Phone Number
- 860-482-9399
Provider Business Mailing Address Details
- Address
- 8 Arbor Ridge RD
Torrington, CT 06790-2576 - City
- Torrington
- State
- CT
- Zip
- 06790-2576
- Phone Number
- 270-933-8084
License Information
- License Number
- 001826
- License State
- CT
- Taxonomy
- Technician/Technologist, Optician · 156FX1800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Stacey R Evans, LO?
The NPI number of Mrs. Stacey R Evans, LO is 1134900830. It was assigned on October 9, 2023 and is currently active in the NPPES registry.
What is the specialty of Mrs. Stacey R Evans, LO?
Mrs. Stacey R Evans, LO is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in CT under license number 001826.
Where does Mrs. Stacey R Evans, LO practice?
The practice location is 333 Kennedy Dr Ste L202, Torrington, CT 06790-7201. The office can be reached at 860-482-9399 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134900830 directly on the NPPES registry website.