Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EDWARD BEAUDETTE, L.O.
Active Sole ProprietorMR. EDWARD BEAUDETTE, L.O. is a Optician, Dispensing healthcare provider located in HAMDEN, Connecticut. NPI 1164643797 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · HAMDEN, CT
Registration Details
- NPI Number
- 1164643797
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2007 (19.306047433704 yrs)
- Last Updated
- Oct 30, 2008
- License
-
1001 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2301 STATE STHAMDEN, CT, 065173721Browse CT providers · Browse ZIP 06517
- Phone
- 2032884905
- Fax
- 2032884905
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in HAMDEN, CT
| Name | Credential | NPI |
|---|---|---|
| MR. RUSSELL FRITZ JR. | LO | 1316321565 |
| MS. YEHUDA EDDIE ELIAS | L.O | 1427427012 |
| MR. EMMANUEL COLON | LICENSED OPTICIAN | 1023597838 |
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.