IndividualActive
Stephen Henion, LO LICENSED OPTICIAN
NPI 1417076852 · Technician/Technologist · Waterbury, CT
Provider details
- NPI number
- 1417076852
- Entity type
- Individual
- Primary specialty
- Technician/TechnologistEye and Vision Services Providers
- Credential
- LO LICENSED OPTICIAN
- Sex
- Male
- Sole proprietor
- No
- License
- L01041 (CT)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
910 Wolcott St
Waterbury, CT 06705-1317
Phone: (203) 759-1611
Fax: (203) 759-1707
Approximate (ZIP-level) locationGet directions
Mailing address
45 Eddy St
Oakville, CT 06779-1042
Registry dates
- Enumerated
- 2007-03-28
- Last updated
- 2016-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.