Provider Demographics
NPI:1811559388
Name:HATRICK VENTURES INC.
Entity Type:Organization
Organization Name:HATRICK VENTURES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:301-514-7652
Mailing Address - Street 1:825 DUNBROOKE CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-9315
Mailing Address - Country:US
Mailing Address - Phone:301-682-3459
Mailing Address - Fax:
Practice Address - Street 1:10 MONOCACY BLVD
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-7256
Practice Address - Country:US
Practice Address - Phone:301-682-3459
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-03
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty