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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 Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for GARY D HEINS · (Male)

NPI Number 1033241997
Status Active
Credentials LICENSED OPTICIAN
Entity Individual
Enumeration date 03/09/2007
Last updated 07/15/2008 - About 18 years ago
Sole proprietor 1 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(s) Not Available
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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