National Provider Identifier Database

GARY D HEINS, LICENSED OPTICIAN – NPI #1033241997
Optician


Contact Information

GARY D HEINS, LICENSED OPTICIAN
117 WASHINGTON AVE
NORTH HAVEN, CT06473-1769
Phone: 203-239-6172
Fax: 203-239-0295
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for GARY D HEINS

NPI Number 1033241997
Credentials LICENSED OPTICIAN
Entity Individual
Enumeration date 03/09/2007
Last updated 07/15/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • CT License #: LO-# 715
  • CT Other: 100000715CT-01 BLUE CROSS PROVIDER
  • CT Other: 61-1442432 FEDERAL TAX
  • CT Other: 0648180001 NSC--NUMBER
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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