Provider Demographics
NPI:1174788822
Name:HAMPSHIRE LOST & FOUND VISION LTD
Entity type:Organization
Organization Name:HAMPSHIRE LOST & FOUND VISION LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-683-9999
Mailing Address - Street 1:264 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:HAMPSHIRE
Mailing Address - State:IL
Mailing Address - Zip Code:60140
Mailing Address - Country:US
Mailing Address - Phone:847-683-9999
Mailing Address - Fax:847-683-9998
Practice Address - Street 1:264 N STATE ST
Practice Address - Street 2:
Practice Address - City:HAMPSHIRE
Practice Address - State:IL
Practice Address - Zip Code:60140
Practice Address - Country:US
Practice Address - Phone:847-683-9999
Practice Address - Fax:847-683-9998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-22
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty