Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 156FC0801X | Contact Lens Fitter | C003509 | NY |
Y | 156FX1800X | Optician | C003509 | NY |
NPI | 1861559676 |
---|---|
Provider Name | Mr. F. James Hamilton |
First Address | Syracuse, NY 13210-1807 |
Second Address | Syracuse, NY 13210-1807 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2007 |
Last Update Date | 23/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C003509 | NY STATE OPHTHALMIC LIC (01) | NY |
NY3509 | EYEMED PROVIDER NUMBER (01) | NY |