Active NPI
The Guilford Optical Shoppe Inc
Doing business as Kenneth N. Hebert
- Eyewear Supplier
- Guilford, CT
National Provider Identifier
1437248424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- LO416
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Contact Lens Technician/Technologist
- Guilford, CT
- NPI 1316323470
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.