Provider Demographics
NPI:1861559676
Name:HAMILTON, F. JAMES (OPTICIAN)
Entity type:Individual
Prefix:MR
First Name:F.
Middle Name:JAMES
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-1807
Mailing Address - Country:US
Mailing Address - Phone:315-475-0186
Mailing Address - Fax:315-422-7339
Practice Address - Street 1:612 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-1807
Practice Address - Country:US
Practice Address - Phone:315-475-0186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYC003509156FX1800X, 156FC0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
No156FC0801XEye and Vision Services ProvidersTechnician/TechnologistContact Lens Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC003509OtherNY STATE OPHTHALMIC LIC
NYNY3509OtherEYEMED PROVIDER NUMBER