Provider Demographics
NPI:1972676088
Name:SACHS, HENRY RICHARD (OD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:RICHARD
Last Name:SACHS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 IRON ST
Mailing Address - Street 2:
Mailing Address - City:LEDYARD
Mailing Address - State:CT
Mailing Address - Zip Code:06339-1522
Mailing Address - Country:US
Mailing Address - Phone:860-245-0297
Mailing Address - Fax:860-444-0371
Practice Address - Street 1:850 HARTFORD TPKE
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:CT
Practice Address - Zip Code:06385-4238
Practice Address - Country:US
Practice Address - Phone:860-443-2414
Practice Address - Fax:860-444-0371
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2488152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT090002488CT01OtherBLUE CROSS