Provider Demographics
NPI:1396873626
Name:HAMDEN EYE ASSOCIATES, P.C.
Entity type:Organization
Organization Name:HAMDEN EYE ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:WESTON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:203-248-3937
Mailing Address - Street 1:2300 DIXWELL AVE
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06514-2108
Mailing Address - Country:US
Mailing Address - Phone:203-248-3937
Mailing Address - Fax:203-288-5679
Practice Address - Street 1:2300 DIXWELL AVE
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06514-2108
Practice Address - Country:US
Practice Address - Phone:203-248-3937
Practice Address - Fax:203-288-5679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2301OtherDAVIS
CTC01619Medicare PIN