Steven Gagnon
Technician/Technologist, Optician in Branford, CT. Individual provider (NPI-1).
NPI number1407613169
StatusActive
Last updated in NPPESFeb 29, 2024
Details
- NPI
- 1407613169
- Entity type
- Individual (NPI-1)
- Name
- Steven Gagnon
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 29, 2024
- Certification date
- Feb 29, 2024
- Last updated
- Feb 29, 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 | 1784 | CT | Yes |
Practice location
120 Commercial PkwyBranford, CT 06405-2537
Phone 203-483-1876
Mailing address
120 Commercial PkwyBranford, CT 06405-2537
Is something wrong?
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.
Other Optician providers in Branford, CT
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All 6 Optician providers in Branford · All 886 providers in Branford
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