NPI 1164643797

Edward Beaudette, LO

Practitioner Optician Hamden, CT

Practice location

Address: 2301 State St, Hamden, CT 06517-3721
Phone: (203) 288-4905
Fax: (203) 288-4905

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 1001 (CT)

Other Technician/Technologist providers in Connecticut →

Registry record

NPI: 1164643797
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 May 2007
Record last updated: 30 Oct 2008

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.