Organization Active NPI

Robert Hazen

  • Eyewear Supplier
  • Wilmington, DE
National Provider Identifier
1902952047
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
2000103840 Issued in DE
Legal business name
ROBERT HAZEN
Practice address
1207 N Scott St
Wilmington, DE 19806-4059
Phone
(302) 428-9900
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert Hazen
Title
Owner
Phone
(302) 428-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 2000103840 DE Primary

Addresses

Primary practice location

1207 N Scott St
Wilmington, DE 19806-4059

Mailing address

1207 N Scott St
Wilmington, DE 19806-4059
Phone (302) 428-9900

National Provider Directory

National Provider Directory
Tax ID family
Robert Hazen2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1207 N Scott St
Wilmington, DE 19806
Phone (302) 428-9900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1902952047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 N SCOTT ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064059",
            "telephone_number": "302-428-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 N SCOTT ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064059",
            "telephone_number": "302-428-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT HAZEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "HAZEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-428-9900"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "DE",
            "license": "2000103840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.