Heather Landerman
Technician/Technologist, Optician in Cromwell, CT. Individual provider (NPI-1).
NPI number1003673898
StatusActive
Last updated in NPPESFeb 28, 2024
Details
- NPI
- 1003673898
- Entity type
- Individual (NPI-1)
- Name
- Heather Landerman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2024
- Certification date
- Feb 28, 2024
- Last updated
- Feb 28, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 1790 | CT | Yes |
Practice location
161 Berlin Rd Ste 703Cromwell, CT 06416-1048
Phone 860-635-6221 · Fax 860-632-6221
Mailing address
161 Berlin Rd Ste 703Cromwell, CT 06416-1048
Phone 860-635-6221 · Fax 860-632-6221
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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