Healthcare Provider Details

I. General information

NPI: 1942701933
Provider Name (Legal Business Name): HUDSON SPECTACLES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2018
Last Update Date: 09/01/2021
Certification Date: 09/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 S FRANKLIN ST
NYACK NY
10960-3732
US

IV. Provider business mailing address

PO BOX 603
NYACK NY
10960-0603
US

V. Phone/Fax

Practice location:
  • Phone: 845-353-4701
  • Fax:
Mailing address:
  • Phone: 845-353-4701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number
License Number State

VIII. Authorized Official

Name: CARL HUBERT CAMEAU
Title or Position: CEO
Credential:
Phone: 845-353-4701