Active NPIIndividual providerSole proprietor

Dr. Andrew D Stack, OD

Optometrist in Hamden, Connecticut

NPI Number1306983648
Practice location
2165 Dixwell Ave, Hamden, CT 06514-2116
Fax
203-407-3932
Last updated
October 14, 2026

Andrew David Stack is an Optometrist based in Hamden, CT. Andrew David Stack practices in Hamden, CT and has the professional credentials of OD. The NPI Number for Andrew David Stack is 1306983648 and holds a License No. 2289 (CT). The current practice location address for Andrew David Stack is 2165 Dixwell Ave, Hamden, CT 06514-2116 and can be reached out via phone at 203-407-3937 and via fax at 203-407-3932.

Provider Profile Details

NPI Number
1306983648
Provider Name
Andrew David Stack
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
2165 Dixwell Ave, Hamden, CT 06514-2116
Phone Number
203-407-3937
Fax Number
203-407-3932
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 30, 2007
Last Update Date
October 14, 2026
Certification Date
October 14, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2165 Dixwell Ave
Hamden, CT 06514-2116
City
Hamden
Zip
06514-2116
Phone Number
203-407-3937
Fax Number
203-407-3932
Hamden, CT 06514Get directions →

Provider Business Mailing Address Details

Address
1950 Old Gallows RD Ste 520
Vienna, VA 22182-3970
City
Vienna
State
VA
Zip
22182-3970

License Information

License Number
2289
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. Andrew D Stack, OD?

The NPI number of Dr. Andrew D Stack, OD is 1306983648. It was assigned on January 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Andrew D Stack, OD?

Dr. Andrew D Stack, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 2289.

Where does Dr. Andrew D Stack, OD practice?

The practice location is 2165 Dixwell Ave, Hamden, CT 06514-2116. The office can be reached at 203-407-3937 (phone) or 203-407-3932 (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 1306983648 directly on the NPPES registry website.

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