Provider Demographics
NPI:1467570341
Name:HAMPTON EYE PHYSICIANS & SURGEONS, PC
Entity Type:Organization
Organization Name:HAMPTON EYE PHYSICIANS & SURGEONS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHOINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-283-3533
Mailing Address - Street 1:186 OLD TOWN RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11968-5013
Mailing Address - Country:US
Mailing Address - Phone:631-283-3533
Mailing Address - Fax:631-287-0571
Practice Address - Street 1:186 OLD TOWN RD
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11968-5013
Practice Address - Country:US
Practice Address - Phone:631-283-3533
Practice Address - Fax:631-287-0571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY173478152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY43D651OtherPTAN
NY44F761OtherPTAN
NY43D651OtherPTAN
NYA400052793Medicare PIN
NYE87414Medicare UPIN
NY44F761OtherPTAN
NYB14524Medicare UPIN
NYA100052790Medicare PIN