Active NPIIndividual providerSole proprietor

Andrew S Maxwell, OD

Optometrist in Enfield, Connecticut

NPI Number1578453320
Practice location
149 Hazard Ave # 4521, Enfield, CT 06082-4521
Fax
860-763-4335
Last updated
July 3, 2025

Andrew Scott Maxwell is an Optometrist based in Enfield, CT. Andrew Scott Maxwell practices in Enfield, CT and has the professional credentials of OD. The NPI Number for Andrew Scott Maxwell is 1578453320 and holds a License No. 3405 (CT). The current practice location address for Andrew Scott Maxwell is 149 Hazard Ave # 4521, Enfield, CT 06082-4521 and can be reached out via phone at 860-749-0757 and via fax at 860-763-4335.

Provider Profile Details

NPI Number
1578453320
Provider Name
Andrew Scott Maxwell
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
149 Hazard Ave # 4521, Enfield, CT 06082-4521
Phone Number
860-749-0757
Fax Number
860-763-4335
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 3, 2025
Last Update Date
July 3, 2025
Certification Date
July 3, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
149 Hazard Ave # 4521
Enfield, CT 06082-4521
Zip
06082-4521
Phone Number
860-749-0757
Fax Number
860-763-4335
Enfield, CT 06082Get directions →

Provider Business Mailing Address Details

Address
8 Wilson CT
Enfield, CT 06082-5225
City
Enfield
State
CT
Zip
06082-5225
Phone Number
860-805-2248

License Information

License Number
3405
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 Andrew S Maxwell, OD?

The NPI number of Andrew S Maxwell, OD is 1578453320. It was assigned on July 3, 2025 and is currently active in the NPPES registry.

What is the specialty of Andrew S Maxwell, OD?

Andrew S Maxwell, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 3405.

Where does Andrew S Maxwell, OD practice?

The practice location is 149 Hazard Ave # 4521, Enfield, CT 06082-4521. The office can be reached at 860-749-0757 (phone) or 860-763-4335 (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 1578453320 directly on the NPPES registry website.

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