Provider Demographics
NPI:1801317268
Name:WOODWARD, HANNAH (OD)
Entity type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:
Last Name:WOODWARD
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 SCHOOL ST # B1
Mailing Address - Street 2:
Mailing Address - City:UNIONVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06085-1018
Mailing Address - Country:US
Mailing Address - Phone:860-255-7691
Mailing Address - Fax:860-321-7380
Practice Address - Street 1:9 SCHOOL ST # B1
Practice Address - Street 2:
Practice Address - City:UNIONVILLE
Practice Address - State:CT
Practice Address - Zip Code:06085-1018
Practice Address - Country:US
Practice Address - Phone:860-255-7691
Practice Address - Fax:860-321-7380
Is Sole Proprietor?:No
Enumeration Date:2017-07-06
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003159152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist