Organization Active NPI

The Guilford Optical Shoppe Inc

Doing business as Kenneth N. Hebert

  • Eyewear Supplier
  • Guilford, CT
National Provider Identifier
1437248424
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
LO416 Issued in CT
Legal business name
THE GUILFORD OPTICAL SHOPPE INC
Doing business as
Kenneth N. Hebert
Practice address
115 State St
The Guilford Optical Shoppe Inc
Guilford, CT 06437-2725
Phone
(203) 453-6776
NPI assigned
Oct 11, 2006
Last updated
Feb 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Mary Lou F Hebert
Title
Secretary
Phone
(203) 453-6776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X LO416 CT Primary

Addresses

Primary practice location

115 State St
The Guilford Optical Shoppe Inc
Guilford, CT 06437-2725

Mailing address

115 State St
Guilford, CT 06437-2725
Phone (203) 453-6776

Other names 1

  • KENNETH N. HEBERT Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1437248424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 STATE ST",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372725",
            "telephone_number": "203-453-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 STATE ST",
            "address_2": "THE GUILFORD OPTICAL SHOPPE INC",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372725",
            "telephone_number": "203-453-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GUILFORD OPTICAL SHOPPE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "HEBERT",
        "authorized_official_first_name": "MARY LOU",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "203-453-6776",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CT",
            "license": "LO416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KENNETH N. HEBERT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guilford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.