Active NPI
Harley W Henion Optician Inc
- Technician/Technologist
- Waterbury, CT
National Provider Identifier
1730340290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- License
- L01041
- Legal business name
- HARLEY W HENION OPTICIAN INC
- Practice address
- 501 Frost Rd
Waterbury, CT 06705 - Phone
- (203) 757-7606
- Fax
- (203) 757-1781
- NPI assigned
- Jun 18, 2008
- Last updated
- Aug 5, 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
- Stephen W Henion, LO
- Title
- President
- Phone
- (203) 757-7606
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | L01041 | CT | Primary |
Addresses
Primary practice location
501 Frost Rd
Waterbury, CT 06705
Mailing address
501 Frost Rd
Waterbury, CT 06705
Phone (203) 757-7606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200001124CT01 | Other | CT | ANTHEM BC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217894400000",
"number": "1730340290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 FROST RD",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06705",
"telephone_number": "203-757-7606",
"fax_number": "203-757-1781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 FROST RD",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06705",
"telephone_number": "203-757-7606",
"fax_number": "203-757-1781"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARLEY W HENION OPTICIAN INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-18",
"last_updated": "2008-08-05",
"status": "A",
"authorized_official_last_name": "HENION",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-757-7606",
"authorized_official_credential": "LO"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": "CT",
"license": "L01041",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC",
"identifier": "200001124CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.