Healthcare Provider Details

I. General information

NPI: 1447385620
Provider Name (Legal Business Name): FRITZ & HAWLEY VISION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2313 WHITNEY AVE SUITE 1D
HAMDEN CT
06518
US

IV. Provider business mailing address

2313 WHITNEY AVE SUITE 1D
HAMDEN CT
06518
US

V. Phone/Fax

Practice location:
  • Phone: 203-248-8224
  • Fax: 203-248-8628
Mailing address:
  • Phone: 203-248-8224
  • Fax: 203-248-8628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code156FC0801X
TaxonomyContact Lens Fitter
License Number
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code156FX1800X
TaxonomyOptician
License Number001362
License Number StateCT

VIII. Authorized Official

Name: MR. RUSSELL B FRITZ JR.
Title or Position: PRESIDENT
Credential: LO
Phone: 203-248-8224