Active NPIIndividual providerSole proprietor

Dr. Edmund T Hackman, Jr., OD

Optometrist in Warwick, Rhode Island

NPI Number1710995469
Practice location
1370 Warwick Ave, Warwick, RI 02888-5019
Fax
401-463-8172
Last updated
July 8, 2007

Edmund T Hackman, Jr. is an Optometrist based in Warwick, RI. Edmund T Hackman, Jr. practices in Warwick, RI and has the professional credentials of OD. The NPI Number for Edmund T Hackman, Jr. is 1710995469 and holds a License No. ODTG00469 (RI). The current practice location address for Edmund T Hackman, Jr. is 1370 Warwick Ave, Warwick, RI 02888-5019 and can be reached out via phone at 401-463-6419 and via fax at 401-463-8172.

Provider Profile Details

NPI Number
1710995469
Provider Name
Edmund T Hackman, Jr.
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
1370 Warwick Ave, Warwick, RI 02888-5019
Phone Number
401-463-6419
Fax Number
401-463-8172
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 4, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1370 Warwick Ave
Warwick, RI 02888-5019
Zip
02888-5019
Phone Number
401-463-6419
Fax Number
401-463-8172
Warwick, RI 02888Get directions →

Provider Business Mailing Address Details

Address
1370 Warwick Ave
Warwick, RI 02888-5019
City
Warwick
State
RI
Zip
02888-5019
Phone Number
401-463-6419
Fax Number
401-463-8172

License Information

License Number
ODTG00469
License State
RI
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. Edmund T Hackman, Jr., OD?

The NPI number of Dr. Edmund T Hackman, Jr., OD is 1710995469. It was assigned on August 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Edmund T Hackman, Jr., OD?

Dr. Edmund T Hackman, Jr., OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in RI under license number ODTG00469.

Where does Dr. Edmund T Hackman, Jr., OD practice?

The practice location is 1370 Warwick Ave, Warwick, RI 02888-5019. The office can be reached at 401-463-6419 (phone) or 401-463-8172 (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 1710995469 directly on the NPPES registry website.

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