Organization Active NPI

Harley W Henion Optician Inc

  • Technician/Technologist
  • Waterbury, CT
National Provider Identifier
1730340290
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Technician/TechnologistTaxonomy code 156F00000X
License
L01041 Issued in CT
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200001124CT01OtherCTANTHEM BC

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.