Provider Demographics
NPI:1831377514
Name:JAMES M HUTCHINS
Entity type:Organization
Organization Name:JAMES M HUTCHINS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MATHEW
Authorized Official - Last Name:HUTCHINS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:507-794-2126
Mailing Address - Street 1:105 MAIN ST W
Mailing Address - Street 2:
Mailing Address - City:SLEEPY EYE
Mailing Address - State:MN
Mailing Address - Zip Code:56085-1327
Mailing Address - Country:US
Mailing Address - Phone:507-794-2126
Mailing Address - Fax:507-794-5070
Practice Address - Street 1:105 MAIN ST W
Practice Address - Street 2:
Practice Address - City:SLEEPY EYE
Practice Address - State:MN
Practice Address - Zip Code:56085-1327
Practice Address - Country:US
Practice Address - Phone:507-794-2126
Practice Address - Fax:507-794-5070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1819332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN0363220001Medicare NSC