Heather L Theriault, OD
Optometrist in Southington, Connecticut
1548312440- Practice location
- 27 Meriden Ave, Southington, CT 06489
- Phone
- 860-628-9937
- Fax
- 860-621-4911
- Last updated
- October 31, 2007
Heather Lavallee Theriault is an Optometrist based in Southington, CT. Heather Lavallee Theriault practices in Southington, CT and has the professional credentials of OD. The NPI Number for Heather Lavallee Theriault is 1548312440 and holds a License No. 002519 (CT). The current practice location address for Heather Lavallee Theriault is 27 Meriden Ave, Southington, CT 06489 and can be reached out via phone at 860-628-9937 and via fax at 860-621-4911.
Provider Profile Details
- NPI Number
- 1548312440
- Provider Name
- Heather Lavallee Theriault
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 27 Meriden Ave, Southington, CT 06489
- Phone Number
- 860-628-9937
- Fax Number
- 860-621-4911
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 18, 2007
- Last Update Date
- October 31, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 27 Meriden Ave
Southington, CT 06489 - City
- Southington
- State
- Connecticut
- Zip
- 06489
- Phone Number
- 860-628-9937
- Fax Number
- 860-621-4911
Provider Business Mailing Address Details
- Address
- 27 Meriden Ave
Southington, CT 06489 - City
- Southington
- State
- CT
- Zip
- 06489
- Phone Number
- 860-628-9937
- Fax Number
- 860-621-4911
License Information
- License Number
- 002519
- License State
- CT
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Southington, CT
View all Optometrists in Southington →- Accu Vision Center, INCOptometrist · NPI 1093981060
- Dr. Richard Sui, ODOptometrist · NPI 1639102932
- Eye Life Vision LLCOptometrist · NPI 1679973820
- Garry S Kain, ODOptometrist · NPI 1407908775
- Mr. Michael S Mcavoy, ODOptometrist · NPI 1851471577
- Southington Optometric Care, LLCOptometrist · NPI 1972799260
Frequently Asked Questions
What is the NPI number of Heather L Theriault, OD?
The NPI number of Heather L Theriault, OD is 1548312440. It was assigned on January 18, 2007 and is currently active in the NPPES registry.
What is the specialty of Heather L Theriault, OD?
Heather L Theriault, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 002519.
Where does Heather L Theriault, OD practice?
The practice location is 27 Meriden Ave, Southington, CT 06489. The office can be reached at 860-628-9937 (phone) or 860-621-4911 (fax).
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 1548312440 directly on the NPPES registry website.