NPI 1003321985

Holly J Gudeahn, LO

Practitioner Optician Putnam, CT

Practice location

Address: 625 School St, Putnam, CT 06260-2424
Phone: (860) 630-4634
Fax: (860) 928-4975

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 001763 (CT)

Other Technician/Technologist providers in Connecticut →

Registry record

NPI: 1003321985
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Dec 2017
Record last updated: 13 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.