Kimberly Gagnon, LO
Technician/Technologist, Optician in Newington, Connecticut
1477140721- Practice location
- 505 Willard Ave Ste 2B, Newington, CT 06111-2650
- Phone
- 860-667-0207
- Fax
- —
- Last updated
- December 21, 2020
Kimberly Gagnon is a Technician/Technologist, Optician based in Newington, CT. Kimberly Gagnon practices in Newington, CT and has the professional credentials of LO. The NPI Number for Kimberly Gagnon is 1477140721 and holds a License No. 1694 (CT). The current practice location address for Kimberly Gagnon is 505 Willard Ave Ste 2B, Newington, CT 06111-2650 and can be reached out via phone at 860-667-0207.
Provider Profile Details
- NPI Number
- 1477140721
- Provider Name
- Kimberly Gagnon
- Credential
- LO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 505 Willard Ave Ste 2B, Newington, CT 06111-2650
- Phone Number
- 860-667-0207
- Primary Taxonomy
- Technician/Technologist, Optician · 156FX1800X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 21, 2020
- Last Update Date
- December 21, 2020
- Certification Date
- December 21, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 505 Willard Ave Ste 2B
Newington, CT 06111-2650 - City
- Newington
- State
- Connecticut
- Zip
- 06111-2650
- Phone Number
- 860-667-0207
Provider Business Mailing Address Details
- Address
- 59 Buckland RD
Wethersfield, CT 06109-1204 - City
- Wethersfield
- State
- CT
- Zip
- 06109-1204
- Phone Number
- 203-887-1932
License Information
- License Number
- 1694
- 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 Kimberly Gagnon, LO?
The NPI number of Kimberly Gagnon, LO is 1477140721. It was assigned on December 21, 2020 and is currently active in the NPPES registry.
What is the specialty of Kimberly Gagnon, LO?
Kimberly Gagnon, LO is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in CT under license number 1694.
Where does Kimberly Gagnon, LO practice?
The practice location is 505 Willard Ave Ste 2B, Newington, CT 06111-2650. The office can be reached at 860-667-0207 (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 1477140721 directly on the NPPES registry website.