Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HOLLY J GUDEAHN, LO
Active Sole ProprietorHOLLY J GUDEAHN, LO is a Optician, Dispensing healthcare provider located in PUTNAM, Connecticut. NPI 1003321985 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · PUTNAM, CT
Registration Details
- NPI Number
- 1003321985
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 13, 2017 (8.6882616267607 yrs)
- Last Updated
- Dec 13, 2017
- License
-
001763 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
625 SCHOOL STPUTNAM, CT, 062602424Browse CT providers · Browse ZIP 06260
- Phone
- 8606304634
- Fax
- 8609284975
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in PUTNAM, CT
| Name | Credential | NPI |
|---|---|---|
| MR. KIM NEELY | L.O. | 1063509735 |
| BENJAMIN SALOIS | L.O. | 1386185239 |
| MR. RYAN G WEAVER | LO, ABOC, NCLEC | 1255856845 |
| PATRICIA TURBERT | L.O | 1235940990 |
| LIDA ALVARADO | LO | 1659269892 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.