Jerry Samuel Hardison in Hartford - Optometrist
Jerry Samuel Hardison - NPI 1306841077
Jerry Samuel Hardison is a Optometrist in Hartford, Connecticut. Jerry Samuel Hardison practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jerry Samuel Hardison is 1306841077. The last update date is 2008-02-08.
Jerry Samuel Hardison's current location address is 553 Farmington Ave, Hartford, Connecticut. You can contact this provider via phone number 8602365831 and fax number 8602362966. The mailing address for Jerry Samuel Hardison is 553 Farmington Ave, Hartford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Samuel Hardison |
|---|---|
| Address | 553 Farmington Ave, Hartford, Connecticut |
| Phone Number | 8602365831 |
| Fax Number | 8602362966 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1306841077 |
|---|---|
| Provider Enumeration Date | 2005-06-17 |
| Last Updated Date | 2008-02-08 |
Provider Mailing Address Detail
| Address | 553 Farmington Ave |
|---|---|
| City | Hartford |
| State | Connecticut (CT) |
| Post Code | 610530480 |
| Phone Number | 8602365831 |
| Fax Number | 8602362966 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 851 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4024659 | CT | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jerry Samuel Hardison?
The Jerry Samuel Hardison has been issued the NPI (National Provider Identifier) 1306841077 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Jerry Samuel Hardison is located?
The Jerry Samuel Hardison is situated at the following address: 553 Farmington Ave, Hartford, CT, 610530480.
What is the Jerry Samuel Hardison's area of specialization and corresponding taxonomy classification?
The Jerry Samuel Hardison's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Jerry Samuel Hardison receive the assignment of its 1306841077 from the Centers for Medicare & Medicaid Services?
The Jerry Samuel Hardison was issued its 1306841077 by the Centers for Medicare & Medicaid Services on 2005-06-17.
As of what date were the details related to Jerry Samuel Hardison most recently updated or revised?
The information pertaining to Jerry Samuel Hardison, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-08.