Healthcare Provider Details

I. General information

NPI: 1861559676
Provider Name (Legal Business Name): F. JAMES HAMILTON OPTICIAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 11/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

612 UNIVERSITY AVE
SYRACUSE NY
13210-1807
US

IV. Provider business mailing address

612 UNIVERSITY AVE
SYRACUSE NY
13210-1807
US

V. Phone/Fax

Practice location:
  • Phone: 315-475-0186
  • Fax:
Mailing address:
  • Phone: 315-475-0186
  • Fax: 315-422-7339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code156FC0801X
TaxonomyContact Lens Fitter
License NumberC003509
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License NumberC003509
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: