Provider Demographics
NPI:1255706222
Name:HAMILTON VISION CENTER DBA PEARLE VISION
Entity type:Organization
Organization Name:HAMILTON VISION CENTER DBA PEARLE VISION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GLASSBAND
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:609-581-5522
Mailing Address - Street 1:638 MARKETPLACE BLVD
Mailing Address - Street 2:PEARLE VISION
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08691-2113
Mailing Address - Country:US
Mailing Address - Phone:609-581-5522
Mailing Address - Fax:609-581-6707
Practice Address - Street 1:638 MARKETPLACE BLVD
Practice Address - Street 2:PEARLE VISION
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08691-2113
Practice Address - Country:US
Practice Address - Phone:609-581-5522
Practice Address - Fax:609-581-6707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-02
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier