Active NPIIndividual provider

Dr. Jerry S Hardison, OD

Optometrist in Hartford, Connecticut

NPI Number1306841077
Practice location
553 Farmington Ave, Hartford, CT 06105-3048
Fax
860-236-2966
Last updated
February 8, 2008

Jerry Samuel Hardison is an Optometrist based in Hartford, CT. Jerry Samuel Hardison practices in Hartford, CT and has the professional credentials of OD. The NPI Number for Jerry Samuel Hardison is 1306841077 and holds a License No. 851 (CT). The current practice location address for Jerry Samuel Hardison is 553 Farmington Ave, Hartford, CT 06105-3048 and can be reached out via phone at 860-236-5831 and via fax at 860-236-2966.

Provider Profile Details

NPI Number
1306841077
Provider Name
Jerry Samuel Hardison
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
553 Farmington Ave, Hartford, CT 06105-3048
Phone Number
860-236-5831
Fax Number
860-236-2966
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
June 17, 2005
Last Update Date
February 8, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
553 Farmington Ave
Hartford, CT 06105-3048
Zip
06105-3048
Phone Number
860-236-5831
Fax Number
860-236-2966
Hartford, CT 06105Get directions →

Provider Business Mailing Address Details

Address
553 Farmington Ave
Hartford, CT 06105-3048
City
Hartford
State
CT
Zip
06105-3048
Phone Number
860-236-5831
Fax Number
860-236-2966

License Information

License Number
851
License State
CT
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jerry S Hardison, OD?

The NPI number of Dr. Jerry S Hardison, OD is 1306841077. It was assigned on June 17, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Jerry S Hardison, OD?

Dr. Jerry S Hardison, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 851.

Where does Dr. Jerry S Hardison, OD practice?

The practice location is 553 Farmington Ave, Hartford, CT 06105-3048. The office can be reached at 860-236-5831 (phone) or 860-236-2966 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306841077 directly on the NPPES registry website.

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